| NPI | 1154752574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY KIM President/Optometrist 585-944-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 006892) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 006353) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-01-27 |