| NPI | 1760095384 | 
|---|---|
| Former Legal Business Name | MK VISION CENTER, LLC | 
| Entity Type | Organization | 
| Authorized Contact | KALEENA MA Owner 718-575-8288 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2020-08-24 | 
| Last Update Date | 2020-08-24 |