Brockport Optometry, PC

NPI #1912112889 in Brockport, New York

Provider Information

NPI Number: 1912112889
Entity Type: Organization
Organization Name: Brockport Optometry, PC
Primary Specialty: Optometrist
Enumeration Date: May 13, 2007
Last Updated: Jul 30, 2008

Practice Location

Address: 22 N MAIN ST
Address 2: LOWER SUITE
City: Brockport
State: New York
ZIP Code: 14420-1614
Phone: (585) 637-2121

Authorized Official

Name: DR. MICHAEL LEE RAFF, OD
Title: PRESIDENT
Phone: (585) 637-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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