| NPI | 1962198325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE D VU CEO 929-638-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |