| NPI | 1649705948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADAWNA ROBERTS President 516-589-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |