| NPI | 1245261593 |
|---|---|
| Doing Business As | EYELLUSION VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | HERMINIO V FERNANDEZ President 718-639-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 006666) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-08-03 |