NPI | 1861003352 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY S WILLIAMS Authorized Official/Owner 631-727-2858 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-12-03 |