| NPI | 1023041589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVEA THOMPSON Owner Optician 516-825-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005493) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T024291) |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 0043021) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 0037511) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-01-30 |