| NPI | 1760227466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A PETERSON Senior Director Cbo 646-605-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-01-10 |