| NPI | 1306000799 |
|---|---|
| Doing Business As | CLONDON |
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANNE LONDON Owner 631-727-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C003396) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY C003396) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-09-09 |