Waterloo Ophthalmic Dispensing, Pc

NPI 1518199371 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1518199371
Enumeration Date 08/12/2009
Last Updated 08/12/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DANIEL DAVID DANIEL
Position PRESIDENT/OPTICIAN
Phone (315) 539-1209
Fax (315) 539-1425
Practice Location
204 MAIN STREET SHOP CTR
WATERLOO NY, 13165-1454, US
Phone (315) 539-1209
Fax (315) 539-1425
Business Location
204 MAIN STREET SHOP CTR
WATERLOO NY, 13165-1454, US
Phone (315) 539-1209
Fax (315) 539-1425
Toxanomy
Taxonomy Code 332H00000X
License State New York
License Number C004107-1
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According to our database, Waterloo Ophthalmic Dispensing, Pc NPI is 1518199371, taxonomy code is 332H00000X and license number is C004107-1, license state is located at New York. Waterloo Ophthalmic Dispensing, Pc physically located at 204 Main Street Shop Ctr, Waterloo NY, 13165-1454. NPI Number 1033115704 has the healthcare provider type.

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1518199371 NPI number is provided on an as is basis without warranty of any kind. 1518199371 is maintained by the National Plan & Provider Enumeration System. The contents of Waterloo Ophthalmic Dispensing, Pc are for informational purposes only.