Individual
DORIS PRASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
420 FORD ST, OGDENSBURG, NY 13669-1620
(315) 393-7171
Mailing address
420 FORD ST, OGDENSBURG, NY 13669-1620
(315) 393-7171
(315) 393-2382
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
NY007505
NY
156FX1800X
Optician
Primary
NY007505
NY
Other
Enumeration date
03/21/2013
Last updated
04/05/2019
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