| NPI | 1407595929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDYA AGAYBY-ZAKI Licensed Optician And Owner 857-234-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |