| NPI | 1619226784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR SHIMUNOV Optician 917-204-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007474) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-03-27 |