NPI | 1346333135 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTUS GUARENTE Vice President 845-339-4990 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY tuv3749) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2010-06-25 |