| NPI | 1194959486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA M MARCIANO Office Manager 585-889-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005201) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY TUV005201) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2011-01-28 |