IndividualActive
Mary Bustos, CPOA
NPI 1073710695 · Optometric Assistant Technician · Bronx, NY
Provider details
- NPI number
- 1073710695
- Entity type
- Individual
- Primary specialty
- Optometric Assistant TechnicianEye and Vision Services Providers
- Credential
- CPOA
- Sex
- Female
- Sole proprietor
- No
Mailing address
464 E 185th St # 1
Bronx, NY 10458-7704
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.