| NPI | 1275600496 |
|---|---|
| Doing Business As | PENN YAN EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL SMITH Optometrist 315-536-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY TUV005146-J) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY tuv005146-j) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY TUV005146-J) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |