NPI | 1316094147 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JAMES WITT President 716-845-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2007-10-09 |