Creative Optical, LLC
NPI #1093042020 in Ogdensburg, New York
Provider Information
- NPI Number
- 1093042020
- Entity Type
- Organization
- Organization Name
- Creative Optical, LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Nov 12, 2009
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 300 STATE ST
- City
- Ogdensburg
- State
- New York
- ZIP Code
- 13669
- Phone
- (315) 755-2530
Authorized Official
- Name
- DR. DAVID A EWING-CHOW, MD
- Title
- MEMBER
- Phone
- (315) 788-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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