| NPI | 1144746132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENTE A CALDERON President 347-717-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2019-09-04 |