Tyler Maxon Optometrist Pllc

NPI #1740890227 in Manlius, New York

Provider Information

NPI Number: 1740890227
Entity Type: Organization
Organization Name: Tyler Maxon Optometrist Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 9, 2020
Last Updated: Aug 9, 2020

Practice Location

Address: 228 E SENECA ST
City: Manlius
State: New York
ZIP Code: 13104-1818
Phone: (760) 819-1141

Authorized Official

Name: DR. TYLER JOSEPH MAXON, O.D.
Title: OPTOMETRIST
Phone: (760) 819-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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