| NPI | 1699926394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R MASTRO Optician 585-288-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C 006690-1) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY C 006690-1) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2009-05-19 |