| NPI | 1700272275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY RUBIN Billing Manager 718-926-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-04-12 |