| NPI | 1164465282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA MANEVICH Owner 718-339-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 005712) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-15 |