| NPI | 1386033868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTOR KOLESNYK Vice President 718-915-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008816) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY 008816) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 008716) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |