Organization Name: | CARRERA OPTICAL INC. |
NPI Number: | 1134395346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GARY CARRERA (OWNER) |
Mailing Address: | 207 Pat Booker Rd Universal City |
State: | TX US |
Postal Code: | 781484427 |
Phone Number: | 2106583820 |
Fax Number: | 2106584841 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | DR3174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |