| NPI | 1033446463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BANGIYEV Owner/Optician 347-419-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008269) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2010-03-23 |