| NPI | 1144391749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SMALL President 718-649-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 4854) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |