NPI | 1982195350 |
---|---|
Doing Business As | FOREST OPTICAL |
Entity Type | Organization |
Authorized Contact | RAPHAEL YUSUPOV Manager 718-418-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007920) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-06-13 |