| NPI | 1629246004 |
|---|---|
| Other Name | LATHAM FAMILY VISION |
| Entity Type | Organization |
| Authorized Contact | ROCCO F LOCCISANO Optometrist 518-785-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004680-1) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-06-30 |