| NPI | 1487154597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VILLA President 347-867-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1201X Technician/Technologist Optometric Assistant |
| Additional Taxonomies | 2355A2700X Specialist/Technologist Audiology Assistant |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |