| NPI | 1225242233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE E. WILLOWS President 585-244-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-09-10 |