| 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 |