| NPI | 1649724568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIS J DIAZ O PT Ometrist/Owner 917-312-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007172) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |