| NPI | 1790983500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DENAROSO Optician 718-399-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-04-23 |