| NPI | 1831246958 |
|---|---|
| Doing Business As | NORTH COUNTRY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID LACK Owner 518-563-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV003563-1) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-10-25 |