NPI | 1659407260 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW P SMITH O PT Ometrist 315-539-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005146-J) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY TUV005146-J) |
332H00000X Eyewear Supplier (Licence: NY TUV005146-J) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2008-04-24 |