| NPI | 1316755036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY NEKTALOV CEO 646-750-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2025-05-13 |