NPI | 1649897737 |
---|---|
Doing Business As | MARINE OPTICAL |
Entity Type | Organization |
Authorized Contact | ABRAHAM AVNILOV Optometrist 347-925-5077 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-07-06 |