| NPI | 1881340925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIH CHUN TAI Owner 718-971-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |