| NPI | 1679943005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH D VU Owner 718-873-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-06-27 |