| NPI | 1295808079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOSEPH HORNBERGER President 716-941-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-07-08 |