Organization
CONSUMER OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH R BERETZ (BILLING CLERK)
(518) 355-0795
Entity
Organization
Contact information
Practice address
1426 ALTAMONT AVE, SCHENECTADY, NY 12303-2979
(518) 355-0795
(518) 355-1208
Mailing address
1426 ALTAMONT AVE, SCHENECTADY, NY 12303-2979
(518) 355-0795
(518) 355-1208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0393490001
DMERC PTAN
NY
01
—
1034
CDPHP
NY
01
—
1285670018
NPI
—
01
—
200051441
MVP
NY
01
—
J100354592
CONSUMER PTAN
NY
Enumeration date
08/19/2006
Last updated
08/15/2017
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