| NPI | 1659407260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P SMITH Optometrist 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 (Equipment, not the service) (Licence: NY TUV005146-J) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-04-24 |