| NPI | 1205861176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LEE SAROW Owner 716-542-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T004942) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T002702-1) |
| 152W00000X Optometrist (Licence: NY TUV005016-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 006922-1) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |