| NPI | 1083647705 |
|---|---|
| Doing Business As | BONAFIDE OPTICIANS |
| Entity Type | Organization |
| Authorized Contact | IQBAL VENJARA Manager 718-444-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 005083-1) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-11-05 |