NPI | 1073785762 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D. WYLOT President 585-425-4770 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006773-1) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2019-08-15 |