| NPI | 1982267977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREUND Owner 718-522-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |