Organization
GRAND ISLAND OPTICAL CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS ANTHONY MACRO (OWNER/OPTICIAN)
(716) 773-7653
Entity
Organization
Contact information
Practice address
2077 BASELINE RD, GRAND ISLAND, NY 14072-2060
(716) 773-7653
Mailing address
2077 BASELINE RD, GRAND ISLAND, NY 14072-2060
(716) 773-7653
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003488-1
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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