| NPI | 1992402598 |
|---|---|
| Doing Business As | EYE CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | FABIAN VALLES Owner 787-360-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-03-19 |