| NPI | 1285904961 |
|---|---|
| Doing Business As | CUSTOM EYES OF ALBANY |
| Entity Type | Organization |
| Authorized Contact | MARYLOU ESTES Practice Administrator 541-928-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR OR1225ATI) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-04-04 |