| NPI | 1023769379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BISSRAITHE Owner 718-282-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |