Organization
TJ FANCY ENTERPRISES LLC
Active
Other names
Sterling Optical 131
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA GREVELDING (OWNER)
(315) 418-2396
Entity
Organization
Contact information
Practice address
104 KASSON RD STE C, CAMILLUS, NY 13031-2248
(315) 487-0327
(315) 487-4425
Mailing address
104 KASSON RD STE C, CAMILLUS, NY 13031-2248
(315) 487-0327
(315) 487-4425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up