| NPI | 1811056963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAYNBLUT President 718-884-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |