| NPI | 1750003067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRASHAW Business Owner 315-323-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |