| NPI | 1952419053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHAVIS President/ Optician 212-996-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2016-02-15 |