| NPI | 1558544171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CORNELL Owner 518-756-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 004744-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 4607) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |