| NPI | 1568643161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUBOMYRA KOLESNYK Owner 718-622-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 006618-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 006618-1) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY 006618-1) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY 006618-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 008716) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 008716-1) | |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2015-01-21 |