| NPI | 1972002632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET C CHAO Managing Member 702-207-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
| Additional Taxonomies | 229N00000X Anaplastologist |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-07-02 |