| NPI | 1538215363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SANTACROCE Secretary 631-351-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-11-03 |