| 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 |