NPI | 1265298731 |
---|---|
Doing Business As | PURE VISION OPTICAL |
Entity Type | Organization |
Authorized Contact | BELLA DAVYDOV Optometrist 718-887-4987 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |