| NPI | 1518136647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MORENO Optician 718-204-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 008114-1) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |