| NPI | 1013235373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANA DOSTOVA President 917-957-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |