| NPI | 1245352996 |
|---|---|
| Doing Business As | SOUTH SIDE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JOHN F MEEHAN Officer 607-723-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-06-29 |