| NPI | 1235538596 |
|---|---|
| Doing Business As | FABULOUS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MARK BARAYEV Owner 718-835-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007786) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |