| NPI | 1215102827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARAYEV Manager 347-492-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |