Great Northern Optical Equipment Inc.

NPI #1568481752 in Cicero, New York

Provider Information

NPI Number: 1568481752
Entity Type: Organization
Organization Name: Great Northern Optical Equipment Inc.
Primary Specialty: Optometrist
Enumeration Date: Jul 19, 2006
Last Updated: Oct 16, 2009

Practice Location

Address: 7903 BREWERTON RD
Address 2: WEST MARINE PLAZA
City: Cicero
State: New York
ZIP Code: 13039-9531
Phone: (315) 699-1700

Authorized Official

Name: DR. CARL FRANCIS AZZOTO, OD
Title: OPTOMETRIST
Phone: (315) 622-4607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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