NPI | 1356763056 |
---|---|
Former Legal Business Name | NATIONAL EYECARE |
Entity Type | Organization |
Authorized Contact | EDWARD BANGIYEV O PT Ician/Owner 718-320-0551 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007786) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007786) |
156FX1800X Technician/Technologist, Optician (Licence: NY 008630) | |
Enumeration Date | 2014-01-15 |
Last Update Date | 2015-09-23 |