| NPI | 1952847436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CARMONA Owner 972-824-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: TX 223731) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |