| NPI | 1679080220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE N SHABA Owner 888-495-4489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 213E00000X Podiatrist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-07-11 |