| NPI | 1457548802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J TARASEVICH Optometrist 914-669-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005613-1) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2010-08-10 |