| NPI | 1821115155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MASTROROCCO Optician 631-265-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY C0058551) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-05-24 |