| NPI | 1386972164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL GANTMAN Optician Eyewear Supplier Owner 516-352-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 005042) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-03-30 |