| NPI | 1427492685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VALENTIN Credentialing Specialist 718-863-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |