| NPI | 1679748941 |
|---|---|
| Doing Business As | MAIN STREET OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD E YOUNG President 631-757-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004955-1) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2011-08-03 |