| NPI | 1952997470 |
|---|---|
| Doing Business As | PRIMERA VISTA OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MAYRA MACHUCA Optician 623-877-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |