NPI | 1003973223 |
---|---|
Doing Business As | CRESTON OPTICAL |
Entity Type | Organization |
Authorized Contact | DOUGLAS T BERGER Mgr 718-409-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT002933-1) |
Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: NY VUT002933-1) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NY VUT002933-1) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY VUT002933-1) | |
152WS0006X Optometrist, Sports Vision (Licence: NY VUT002933-1) | |
156FC0800X Technician/Technologist, Contact Lens (Licence: NY 005104-1) | |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY 005104-1) | |
156FX1800X Technician/Technologist, Optician (Licence: NY 005104-1) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-01-28 |