| NPI | 1376908095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAN SONG BLACKMER Licensed Optician/Owner 315-857-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 55 006556) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |