| NPI | 1861442022 |
|---|---|
| Doing Business As | MODERN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LEONARD DONDE Optician 718-336-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 0071631) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-12-11 |