NPI | 1295113157 |
---|---|
Other Name | J OPTICAL |
Entity Type | Organization |
Authorized Contact | LEONID YUSUPOV Licensed O PT Ician 718-534-4651 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY 009424) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |