| NPI | 1386717346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L OLIVOS Owner 718-847-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic (Licence: NY 6871) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: NY 6871) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |