NPI | 1760435374 |
---|---|
Doing Business As | EYESITE VISION CENTER |
Entity Type | Organization |
Authorized Contact | CLEMENT ENORENSE IDEHEN President 718-628-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY T006065) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2009-09-16 |