| NPI | 1083711501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY J HANAI Owner 718-465-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 006379) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician (Licence: NY C005878-1) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY C005878-1) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2008-07-28 |