| NPI | 1497935217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ROZHANSKY President 917-306-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 6307) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2018-01-23 |