NPI | 1831296151 |
---|---|
Former Name | VLADA BARANOVSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY T006445) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP136) |
152W00000X Optometrist (Licence: MA OPT5692) | |
152W00000X Optometrist (Licence: MN 3902) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-06-28 |