| NPI | 1922306216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA ERNESTINA EZEKWO Owner 862-239-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY 156622) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 156622) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |