| NPI | 1245301506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BELYAEVA Optician 347-221-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NY 007466) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-10-31 |