| NPI | 1861732703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CELLURA Certified Optician/Manager 631-539-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |