Individual
MAUREEN MICHELE MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
201 SILVER ST, PERU, NY 12972-3529
(518) 566-8096
(518) 566-0085
Mailing address
201 SILVER ST, PERU, NY 12972-3529
(518) 566-8096
(518) 566-0085
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009713
NY
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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