NPI | 1003176603 |
---|---|
Doing Business As | MAIN OPTICAL |
Entity Type | Organization |
Authorized Contact | EDUARD BORUKHOV Owner 347-642-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 009250) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2019-08-23 |