| NPI | 1154091023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT CEO Manager 646-448-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-05-29 |