| NPI | 1851533111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD T RODABAUGH Owner 607-739-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 005967) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |