Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0800X | Contact Lens | NY3637 | NY |
N | 156FC0801X | Contact Lens Fitter | NY3637 | NY |
Y | 156FX1800X | Optician | NY3637 | NY |
NPI | 1184881716 |
---|---|
Provider Name | Mr. Franklin Senia |
First Address | Amherst, NY 14226-1629 |
Second Address | Amherst, NY 14226-1629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NY3637 | EYEMED VISION CARE (01) | NY |