| NPI | 1740457803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN P. RICHARDS Office Manager 607-272-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C006861-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T3728) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY C006861-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY 003079-1) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-06-29 |