NPI | 1295304228 |
---|---|
Former Name | CHANA RICHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004099) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009344) |
152W00000X Optometrist (Licence: TX 11462TG) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2025-07-30 |