| NPI | 1417533035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CHANG Owner 212-255-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-07-12 |