| NPI | 1194071290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ALYSE AMABILE Optometrist 716-822-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007401) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007656) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2021-08-25 |