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 |