| NPI | 1770973968 |
|---|---|
| Doing Business As | NORTHPORT EYE CARE |
| Entity Type | Organization |
| Authorized Contact | GRACE TAN Member 631-757-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY NY TUV 7209) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-03-04 |