| NPI | 1760126882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDRISS NESTOR Owner 917-826-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |