Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | 005405 | NY |
N | 156FX1800X | Optician | 005405 | NY |
NPI | 1720232598 |
---|---|
Provider Name | Dr. Monica M Michaels |
First Address | East Aurora, NY 14052-2129 |
Second Address | East Aurora, NY 14052-2129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2008 |
Last Update Date | 06/11/2008 |