South Park Optical, Inc.
NPI #1700974946 in Blasdell, New York
Provider Information
- NPI Number
- 1700974946
- Entity Type
- Organization
- Organization Name
- South Park Optical, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Dec 5, 2014
Practice Location
Authorized Official
- Name
- JAMES GORDON BEITER SR.
- Title
- OPTICIAN
- Phone
- (716) 823-6093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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