# WESTFALL VISION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083303903
- **Authorized official:** DR. JOANNE DETORE DMSC RPAC (COO)
- **Authorized official phone:** (518) 744-9911

## Contact information

- **Practice address:** 15 E WASHINGTON ST, GLENS FALLS, NY 12801-3315
- **Practice address phone:** (518) 792-5711
- **Practice address fax:** (518) 792-5723
- **Mailing address:** 15 E WASHINGTON ST, GLENS FALLS, NY 12801-3315
- **Mailing address phone:** (518) 792-5711
- **Mailing address fax:** (518) 792-5723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 07/02/2023