| |
105 Nelson St Ste 2, Cazenovia, NY 13035-1352 | |
(315) 655-4964 | |
(315) 655-2662 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 105 Nelson St Ste 2, Cazenovia, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386082360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T005365 (New York) | Primary |
152W00000X | Optometrist | 007004 (New York) | Secondary |
Mailing Address | Practice Location Address |
---|---|
105 Nelson St Ste 2, Cazenovia, NY 13035-1352 Ph: (315) 655-4964 | 105 Nelson St Ste 2, Cazenovia, NY 13035-1352 Ph: (315) 655-4964 |