Organization
XAVIER OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN X SART (PRESIDENT & CEO)
(315) 299-4074
Entity
Organization
Contact information
Practice address
218 HARRISON ST, SYRACUSE, NY 13202-3041
(315) 396-0325
(315) 396-0497
Mailing address
218 HARRISON ST, SYRACUSE, NY 13202-3041
(315) 299-4074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156F00000X
Technician/Technologist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03340425
—
NY
Enumeration date
12/27/2010
Last updated
01/14/2019
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