NPI | 1699209353 |
---|---|
Doing Business As | PROFESSIONAL EYECARE CENTER |
Entity Type | Organization |
Authorized Contact | BORIS BANGIYEV Owner 646-321-5802 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2017-04-19 |
Last Update Date | 2018-05-30 |