| NPI | 1578742219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRIEDRICH Administrator 607-734-2984 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2012-02-15 |