| NPI | 1528095593 |
|---|---|
| Other Name | DBA ENVISAGE VISION PLUS STYLE |
| Entity Type | Organization |
| Authorized Contact | JESSICA RODRIGUEZ Billing Manager 914-235-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 004106) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-05-27 |