NPI Profile for IMPULSE DESIGNER EYEWEAR CORP in ELMHURST, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X | |||
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI Number | 1669827960 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/25/2016 | |
| Last updated | 04/25/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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