| NPI | 1619517380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA HENRIQUEZ Director Of Operations 914-370-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2024-03-25 |