| NPI | 1639832942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN AMABILE Owner 716-822-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |