| NPI | 1184317620 |
|---|---|
| Doing Business As | MODERN EYES OPTICAL |
| Entity Type | Organization |
| Authorized Contact | WEN LIN Owner 718-331-3598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |