| NPI | 1225319692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY CHAN Owner 718-252-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2013-01-08 |