| NPI | 1952581969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI L. GUSTIN President 585-265-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: NY VUT005228) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY VUT005228) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-09-23 |