| NPI | 1982691101 |
|---|---|
| Doing Business As | OPTICAL STORE |
| Entity Type | Organization |
| Authorized Contact | THOMAS J STEPKA Optician Owner 716-893-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 2306) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |