| NPI | 1033390844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BRIAN TISCH Optometrist 212-765-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005672-01) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2021-03-29 |