| NPI | 1063459808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BLATNER Practice Administrator 716-564-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-02-28 |