| NPI | 1134247968 |
|---|---|
| Doing Business As | SUPREME SPECTACLE |
| Entity Type | Organization |
| Authorized Contact | SHARI LYNN HAUSMAN President 212-795-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TOO5254) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-07-20 |