| NPI | 1831977297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NAZGINOV Manager 347-285-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |