| NPI | 1316415151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL THOMAS PIROZZOLO Manager/Owner 718-626-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| 156FX1800X Technician/Technologist, Optician | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |