Tj Fancy Enterprises LLC

NPI #1043066624 in Camillus, New York

Provider Information

NPI Number: 1043066624
Entity Type: Organization
Organization Name: Tj Fancy Enterprises LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 104 KASSON RD STE C
City: Camillus
State: New York
ZIP Code: 13031-2248
Phone: (315) 487-0327

Authorized Official

Name: TANYA GREVELDING
Title: OWNER
Phone: (315) 418-2396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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