| 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 |