| |
6660 4th Section Rd, Suite 3, Brockport, NY 14420-2448 | |
(585) 637-3300 | |
(585) 637-3439 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 6660 4th Section Rd, Brockport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841253614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156F00000X | Technician/technologist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
159 Express Street, Davis Vision, Plainview, NY 11803-2404 Ph: (516) 827-6727 | 6660 4th Section Rd, Suite 3, Brockport, NY 14420-2448 Ph: (585) 637-3300 |