| NPI | 1902170061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VALENTIN Credentialing Specialist 212-792-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-12 |