| NPI | 1356544266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAS LOPE Owner O PT Ician 718-204-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T004992-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: NY 006945-1) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-02-06 |