| NPI | 1316181498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MOORE Optometrist 585-271-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY vut006526) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY vut006526) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY vut006526) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY vut006526) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |