Adirondack Optical Outfitters

NPI 1013135391 - Optometrist - 152W00000X

NPI Details
NPI 1013135391
Enumeration Date 04/23/2007
Last Updated 06/13/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN ALAN KEVIN
Position MANAGER
Phone (518) 585-9922
Fax (518) 585-9927
Practice Location
84 MONTCALM ST # 5
TICONDEROGA NY, 12883-1361, US
Phone (518) 585-9922
Fax (518) 585-9927
Business Location
84 MONTCALM ST # 5
TICONDEROGA NY, 12883-1361, US
Phone (518) 585-9922
Fax (518) 585-9927
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number 7119
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According to our database, Adirondack Optical Outfitters NPI is 1013135391, taxonomy code is 152W00000X and license number is 7119, license state is located at New York. Adirondack Optical Outfitters physically located at 84 Montcalm St # 5, Ticonderoga NY, 12883-1361. NPI Number 1033115704 has the healthcare provider type.

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1013135391 NPI number is provided on an as is basis without warranty of any kind. 1013135391 is maintained by the National Plan & Provider Enumeration System. The contents of Adirondack Optical Outfitters are for informational purposes only.