| NPI | 1164680062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN PHILIP LANDESMAN Owner 914-241-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 4148) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 2932) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: NY 4148) | |
| 152WP0200X Optometrist Pediatrics (Licence: NY 2932) | |
| 152WS0006X Optometrist Sports Vision (Licence: NY 2932) | |
| 152WV0400X Optometrist Vision Therapy (Licence: NY 2932) | |
| 152WX0102X Optometrist Occupational Vision (Licence: NY 4148) | |
| 152WX0102X Optometrist Occupational Vision (Licence: NY 2932) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-08-08 |