Watertown Medical Optical Pllc

NPI #1730203548 in Watertown, New York

Provider Information

NPI Number: 1730203548
Entity Type: Organization
Organization Name: Watertown Medical Optical Pllc
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 19, 2007
Last Updated: Apr 15, 2013

Practice Location

Address: 1815 STATE STREET
City: Watertown
State: New York
ZIP Code: 13601
Phone: (315) 786-8064

Authorized Official

Name: MR. NOAMAN SANNI, MD
Title: OWNER
Phone: (315) 788-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X
Eyewear Supplier	332H00000X	Primary

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