| NPI | 1275666190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUNDQUIST Executive Director 716-839-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY 5358) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-12-12 |