NPI | 1366933707 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI M GOLDSTEIN Owner/O PT Ometrist 212-807-0019 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006664) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006664) |
152WV0400X Optometrist, Vision Therapy (Licence: NY TUV006664) | |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |