NPI | 1902236292 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA MA Optometrist 917-721-6751 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007306) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007382) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2013-11-22 |