| NPI | 1518500883 |
|---|---|
| Doing Business As | PEDIATRIC & ADULT EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | OLESYA SEMCHENKOVA Optometrist 917-607-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |