| NPI | 1063587780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LITOVSKY Manager 718-436-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUTOO6567) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY VUT 005953) |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 007466-01) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-10-28 |