NPI | 1699002345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NY coo5692) |
Additional Taxonomies | 247200000X Technician, Other (Licence: NY COO5692) |
156FC0800X Technician/Technologist, Contact Lens (Licence: NY coo5692) | |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY coo5692) | |
156FX1202X Technician/Technologist, Optometric Technician (Licence: NY coo5692) | |
Enumeration Date | 2009-11-17 |
Last Update Date | 2009-11-19 |