Watertown Medical Optical Pllc
NPI #1407319155 in Gouverneur, New York
Provider Information
- NPI Number
- 1407319155
- Entity Type
- Organization
- Organization Name
- Watertown Medical Optical Pllc
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Apr 10, 2019
- Last Updated
- Apr 10, 2019
Practice Location
- Address
- 77 W BARNEY ST STE F
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-1040
- Phone
- (315) 287-3638
Authorized Official
- Name
- MRS. DORIS PRASHAW, OPTHALMIC DISPENSER
- Title
- MANAGER
- Phone
- (315) 393-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Eyewear Supplier |
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