| NPI | 1629376942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN L BEYER President 716-770-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 3383-1) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2019-12-03 |