| NPI | 1881377141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG KRAYETS Owner 718-382-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-12-08 |