NPI | 1356095608 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY S WILLIAMS Owner 631-727-2858 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-12-06 |