| NPI | 1174260665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL BRIJLALL Owner 347-275-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |