| NPI | 1891238341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAMUEL Optometrist/Owner 914-500-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA006547OO) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-12-02 |