| NPI | 1083782866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD VICTOR HARRELL President Optometrist 518-563-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T0026841) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |