Elma Village Optical

NPI 1023149085 - Optometrist - 152W00000X

NPI Details
NPI 1023149085
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD THOMAS RICHARD
Position OPTICIAN
Phone (716) 652-1776
Fax (716) 652-1776
Practice Location
2355 BOWEN ROAD
ELMA NY, 14059-0105, US
Phone (716) 652-1776
Fax (716) 652-1776
Business Location
2355 BOWEN ROAD
P O BOX 105
ELMA NY, 14059-0105, US
Phone (716) 652-1776
Fax (716) 652-1776
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Elma Village Optical NPI is 1023149085, taxonomy code is 152W00000X Elma Village Optical physically located at 2355 Bowen Road, Elma NY, 14059-0105. NPI Number 1033115704 has the healthcare provider type.

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1023149085 NPI number is provided on an as is basis without warranty of any kind. 1023149085 is maintained by the National Plan & Provider Enumeration System. The contents of Elma Village Optical are for informational purposes only.