Southern Tier Assn F/t Visually Impaired INC

NPI #1184723868 in Elmira, New York

Provider Information

NPI Number: 1184723868
Entity Type: Organization
Organization Name: Southern Tier Assn F/t Visually Impaired INC
Primary Specialty: Optometrist - Low Vision Rehabilitation
Enumeration Date: Sep 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 719 LAKE STREET
City: Elmira
State: New York
ZIP Code: 14901
Phone: (607) 734-1554

Authorized Official

Name: TIMOTHY K HERTLEIN
Title: EXECUTIVE DIRECTOR
Phone: (607) 734-1554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X	Primary

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