NPI | 1740450360 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK JOHN LAWN Owner Optician 315-253-2915 |
Organization Subpart ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C0031041) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |