| NPI | 1851671754 |
|---|---|
| Other Name | OPTICAL IMAGE |
| Entity Type | Organization |
| Authorized Contact | HEATHER BLANK Optician 516-935-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C00796) |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WS0006X Optometrist, Sports Vision | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-10-07 |