| NPI | 1902091523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN GUIDA Optometrist 516-679-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY VUT005946-1) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-07-29 |