| NPI | 1629549399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L ST.JOHN Owner/Nys Licensed Optician 518-744-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |