| NPI | 1053494179 |
|---|---|
| Doing Business As | MIRAGE OPTICA |
| Entity Type | Organization |
| Authorized Contact | NIKI SCHEBOVITZ President 718-849-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY t004326-1) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-05-20 |