| NPI | 1407912751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEEN KERN Owner Optician 518-785-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 7230-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-12-22 |