| NPI | 1649398298 |
|---|---|
| Other Name | BROADWAY OPTICIANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY 5635-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 5635) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |