| NPI | 1588812937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN I HERNANDEZ-RIVERA Owner 718-618-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008692) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |