| NPI | 1104949072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS LOPE President 718-392-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 005711) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |