NPI | 1386703296 |
---|---|
Doing Business As | POTSDAM OPTICAL CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE J ROGERS Optician Owner 315-265-2675 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 0055651) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2022-07-21 |