| NPI | 1639305568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY VINCENT MICHAELS Owner/Optician 716-695-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 005804-1) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-10-03 |