| NPI | 1285519892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA WANG Optometrist 929-556-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |