| NPI | 1871083345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MASTRO Sole Member 585-288-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |