| |
7879 Oswego Rd, Route 57, Liverpool, NY 13090-2143 | |
(315) 622-2000 | |
(315) 622-1257 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 7879 Oswego Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497718019 | 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 |
---|---|
2921 Erie Blvd East, Syracuse, NY 13224-1430 Ph: (315) 446-3145 | 7879 Oswego Rd, Route 57, Liverpool, NY 13090-2143 Ph: (315) 622-2000 |