NPI | 1912082587 |
---|---|
Other Name | GRANDVIEW OPTICAL |
Entity Type | Organization |
Authorized Contact | SARAH POTTER Practice Administrator 607-334-3225 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-05-22 |