| NPI | 1427007053 |
|---|---|
| Doing Business As | DESIGNER OPTICAL OUTLET |
| Entity Type | Organization |
| Authorized Contact | NEIL COOPER President 718-982-9602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TU003858) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 004641) |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 006692) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-01-05 |