Organization
ADIRONDACK OPTICAL OUTFITTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN ALAN GREENE (MANAGER)
(518) 585-9922
Entity
Organization
Contact information
Practice address
84 MONTCALM ST # 5, TICONDEROGA, NY 12883-1361
(518) 585-9922
(518) 585-9927
Mailing address
84 MONTCALM ST # 5, TICONDEROGA, NY 12883-1361
(518) 585-9922
(518) 585-9927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7119
NY
Other
Enumeration date
04/23/2007
Last updated
06/13/2008
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