NPI | 1386222867 |
---|---|
Other Name | FRONT STREET EYECARE |
Entity Type | Organization |
Authorized Contact | MATY YOUNGEWIRTH Optometrist 917-548-5083 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-03-29 |
Last Update Date | 2021-06-15 |