NPI | 1346638434 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL NEJAT Owner 718-984-7616 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV0017979-1) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 004733-1) |
Enumeration Date | 2014-12-26 |
Last Update Date | 2014-12-26 |