NPI | 1366584559 |
---|---|
Doing Business As | WYNN OPITCS |
Entity Type | Organization |
Authorized Contact | DEJUAN LAMONT WYNN Owner 212-222-6048 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 164759) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2010-02-23 |