Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0800X | Contact Lens | C00367-1 | NY |
N | 156FC0801X | Contact Lens Fitter | C00367-1 | NY |
Y | 156FX1800X | Optician | 003607-1 | NY |
NPI | 1598227456 |
---|---|
Provider Name | Michael Kather |
First Address | Canandaigua, NY 14424-1787 |
Second Address | Canandaigua, NY 14424-1787 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2019 |
Last Update Date | 02/04/2019 |