| NPI | 1447383823 |
|---|---|
| Doing Business As | WAVECREST OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | BARRY S RAINES Chief Operating Officer 718-327-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |