| NPI | 1770893729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BECK Optician/President 631-878-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 8025-1) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |