# PLAZA OPTICAL OF MONROE, INC

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

## Provider details

- **NPI number:** 1427249051
- **Authorized official:** PAUL HOWARD UTNICK OPTICIAN (OPTICIAN/OWNER)
- **Authorized official phone:** (845) 783-4400

## Contact information

- **Practice address:** 475 STATE ROUTE 17M, MONROE, NY 10950-4169
- **Practice address phone:** (845) 783-4400
- **Practice address fax:** (845) 782-4041
- **Mailing address:** 475 STATE ROUTE 17M, MONROE, NY 10950-4169
- **Mailing address phone:** (845) 783-4400
- **Mailing address fax:** (845) 782-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | T3937 | NY | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 08/08/2007