| NPI | 1982805750 |
|---|---|
| Doing Business As | CRESTON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BERGER Director Of Operations 212-582-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT002933-1) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY VUT002933-1) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY VUT002933-1) | |
| 152WS0006X Optometrist, Sports Vision (Licence: NY VUT002933-1) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY VUT002933-1) | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY 5104-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 005104-1) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY C005104-1) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-10-10 |