| NPI | 1255581609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDAPORN TANPATTANA Optometrist 917-623-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA 00594603) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-02-25 |