| NPI | 1205989647 |
|---|---|
| Doing Business As | THE VISIONARY |
| Entity Type | Organization |
| Authorized Contact | PHILIP R NISWANDER Md 716-634-4441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-03-07 |