| NPI | 1265615686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SHAPIRO Optometrist 914-968-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2012-12-17 |