| NPI | 1982814547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C KIMERLING Opthalmic Dispenser 718-548-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |