| NPI | 1609025014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MANDEL Owner 718-625-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |