| |
1218 Arsenal St, Watertown, NY 13601-2214 | |
(315) 755-6348 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1218 Arsenal St, Watertown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972266310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1218 Arsenal St, Watertown, NY 13601-2214 Ph: (315) 755-6348 | 1218 Arsenal St, Watertown, NY 13601-2214 Ph: (315) 755-6348 |