| NPI | 1275658924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BRADLEY WYNNE Optometrist 585-654-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY V005374) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |