| |
140 Route 104, Oswego Plaza, Oswego, NY 13126-5649 | |
(315) 342-0727 | |
(315) 342-3044 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 140 Route 104, Oswego, 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 |
---|---|---|---|
1932160785 | 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 |
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2921 Erie Blvd East, Empire Vision Center Inc, Syracuse, NY 13224-1430 Ph: (315) 446-3145 | 140 Route 104, Oswego Plaza, Oswego, NY 13126-5649 Ph: (315) 342-0727 |