NPI | 1104912948 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT B GRANIERO Optometrist 585-427-7960 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY vut005266) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY vut005266) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-09-20 |