| NPI | 1316039761 |
|---|---|
| Doing Business As | BROADWAY VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES I GOLD Owner 212-927-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 4372) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-09-10 |