| NPI | 1174700793 |
|---|---|
| Doing Business As | 2020 WESTSIDE EYECARE |
| Entity Type | Organization |
| Authorized Contact | DONNA LONGO Office M Anager 716-883-4747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY V003048 1) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-10-29 |