NPI | 1972726321 |
---|---|
Entity Type | Organization |
Authorized Contact | CARY A KAZDAN Owner 585-586-6524 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT005157) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY VUT005157) |
332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY VUT005157) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-07-17 |