| NPI | 1487392494 |
|---|---|
| Doing Business As | MILL BASIN OPTICAL INC |
| Entity Type | Organization |
| Authorized Contact | LUIZA MIRENSKY Owner 718-209-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |