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Organization
TRAVELING OPTOMETRY PC
Active
Organization
TRAVELING OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA D. ROSE OD (PRESIDENT)
(315) 295-0467
Entity
Organization
Contact information
Practice address
224 HARRISON ST, SUITE 218, SYRACUSE, NY 13202-3056
(315) 295-0467
(315) 295-1096
Mailing address
224 HARRISON ST, SUITE 218, SYRACUSE, NY 13202-3056
(315) 295-0467
(315) 295-1096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119853
—
NY
Enumeration date
12/16/2008
Last updated
12/16/2009
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