| NPI | 1952056756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY SIDRA Owner 210-668-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-11-26 |