| NPI | 1003908278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SUMMER CHATMAN Co Owner 718-547-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T003850-1) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |