| NPI | 1720072663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J FRIEDRICH Administrator 607-734-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2012-01-25 |