NPI | 1336514819 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM CARUSO Director Of Credentialing 646-660-1993 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2024-02-15 |