| NPI | 1093984247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN BRITTON Provider Relations 212-729-5345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |