# UPSTATE VISION CARE, PLLC

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

## Provider details

- **NPI number:** 1629549399
- **Authorized official:** MRS. AMY L ST.JOHN OPTHALMIC DISPENSER (OWNER/NYS LICENSED OPTICIAN)
- **Authorized official phone:** (518) 744-7136

## Contact information

- **Practice address:** 206 GLEN ST. SUITE 31B, COLVIN BUILDING, GLENS FALLS, NY 12801
- **Practice address phone:** (518) 744-7136
- **Mailing address:** 206 GLEN ST. SUITE 31B, COLVIN BUILDING, GLENS FALLS, NY 12801
- **Mailing address phone:** (518) 744-7136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FC0800X | Contact Lens Technician/Technologist | — | NULL | Yes |
| 156FC0800X | Contact Lens Technician/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2018
- **Last updated:** 12/06/2018