| NPI | 1003244591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARYTA SOKOLOVA Vice President 718-513-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007361) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY tuv004950) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-12-12 |