| NPI | 1245403609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JOEL ROBERTS O PT Ometrist 631-979-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV3129) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-17 |