Eye Dance and Screen

NPI #1972266310 in Watertown, New York

Provider Information

NPI Number: 1972266310
Entity Type: Organization
Organization Name: Eye Dance and Screen
Subpart: Yes (part of a larger organization)
Parent Organization: M B KAYANI PHYSICIAN PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 21, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 1218 ARSENAL ST
City: Watertown
State: New York
ZIP Code: 13601-2214
Phone: (315) 755-6348

Authorized Official

Name: DORIS PRASHAW, OPTICIAN
Title: MANAGER
Phone: (315) 755-6348

Specialties & Taxonomy Codes

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

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