| NPI | 1801359146 |
|---|---|
| Former Name | LISA R KEYSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C007812-1) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY C007812-1) |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2021-01-09 |