| NPI | 1144315409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS JOSEPH ENZERILLO President 315-478-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: NY C003601-1) |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: NY C003601-1) | |
| 152W00000X Optometrist (Licence: NY TUV003556) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |