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Organization
UPSTATE VISION CARE, PLLC
Active
Organization
UPSTATE VISION CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY L ST.JOHN OPTHALMIC DISPENSER (OWNER/NYS LICENSED OPTICIAN)
(518) 744-7136
Entity
Organization
Contact information
Practice address
206 GLEN ST. SUITE 31B, COLVIN BUILDING, GLENS FALLS, NY 12801
(518) 744-7136
Mailing address
206 GLEN ST. SUITE 31B, COLVIN BUILDING, GLENS FALLS, NY 12801
(518) 744-7136
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
—
NULL
156FC0800X
Contact Lens Technician/Technologist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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