| NPI | 1417092313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT SHLIMOV Optician 212-693-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007320) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-10-25 |