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Organization
WESTFIELD OPTICAL STUDIO LLC
Active
Organization
WESTFIELD OPTICAL STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE GOLIBERSUCH (OWNER)
(716) 793-2020
Entity
Organization
Contact information
Practice address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020
(716) 793-3030
Mailing address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020
(716) 793-3030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
0050451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103479
—
NY
05
—
02737337
—
NY
Enumeration date
03/24/2006
Last updated
06/16/2018
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