| NPI | 1376924944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN AWNER Owner/Physician 716-204-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |