| NPI | 1801941430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE LIBERTINO Office Mgr 845-471-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1800X Technician/Technologist, Optician | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY C004055-1) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-09-20 |