| NPI | 1710095153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLAN DUBIN President Optician 718-263-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-01-17 |