| NPI | 1619497690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CARUSO Director Of Credentialing 212-792-8136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |