| NPI | 1275501694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT SHLIMOV Owner/Optician 718-495-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007320) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-06-18 |