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 |