| NPI | 1134392525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DAVID MIRKIN Optician 516-766-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 004817) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-08-05 |