| NPI | 1225346018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M BROOKS Owner 518-822-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008662) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV005879) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |