| NPI | 1114515467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R PFLEGER President/Nys Ophthalmic Dispenser 631-728-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-09 |