| |
2355 Bowen Road, Elma, NY 14059-0105 | |
(716) 652-1776 | |
(716) 652-1776 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 2355 Bowen Road, Elma, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023149085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2355 Bowen Road, P O Box 105, Elma, NY 14059-0105 Ph: (716) 652-1776 | 2355 Bowen Road, Elma, NY 14059-0105 Ph: (716) 652-1776 |