| NPI | 1013300581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WALKER Optician 518-328-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 005468-1) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |