| NPI | 1104002088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J ANCONA Owner/O PT Ometrist 718-384-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY VUT005837) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-11-10 |