Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | C0058201 | NY |
NPI | 1053432922 |
---|---|
Provider Name | Mr. Eric P Vossler |
First Address | Wellsville, NY 14895-1057 |
Second Address | Wellsville, NY 14895-1057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |