| NPI | 1720770555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA MIRAKOVA Optician/Owner 917-471-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |