| NPI | 1750556221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARAYEV Manager 718-256-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |