| NPI | 1134233695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN NISHI Owner 718-322-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008483-1) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |