NPI | 1457414286 |
---|---|
Doing Business As | 9 STREET OPTICAL |
Entity Type | Organization |
Authorized Contact | MAKSIM GRINBERG Owner 718-965-2545 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-12-19 |
Last Update Date | 2008-04-14 |