| |
394 E State St, Herkimer, NY 13350-2026 | |
(315) 866-9667 | |
(315) 866-9668 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 394 E State St, Herkimer, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215113667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV005303-1 (New York) | Secondary |
332H00000X | Eyewear Supplier | TUV005303-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
394 E State St, Herkimer, NY 13350-2026 Ph: (315) 866-9667 | 394 E State St, Herkimer, NY 13350-2026 Ph: (315) 866-9667 |