| NPI | 1104102946 |
|---|---|
| Doing Business As | DBA SPECTRUM OPTOMETRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | LISA M BENNETT President 917-304-7854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 06128002036) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2013-10-23 |