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 |