| NPI | 1316095482 |
|---|---|
| Doing Business As | MAZ OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MARILYN A PEPPERS President 631-447-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 5877-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY VUT003894) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-03-03 |