| NPI | 1205643400 |
|---|---|
| Doing Business As | WNY EYE CARE IRONDEQUOIT |
| Entity Type | Organization |
| Authorized Contact | NICHOLE S HOLDER Director Payer Enrollment 585-922-0293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |