| NPI | 1295467272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG JI Doctor 646-239-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |