| NPI | 1225203649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANISLAV ILYUSHA President 718-787-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: NY TUV006443) |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2009-02-04 |