| NPI | 1063892792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMO SUAREZ Optician/Manager 516-485-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 009326-1) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |