| NPI | 1467841718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE SANDOVAL Owner 212-491-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007388) |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-05-11 |