Organization
ROGER GUY INC.
Active
Other names
Westtown Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK A ALLABAUGH OPTICIAN (OWNER)
(607) 272-7775
Entity
Organization
Contact information
Practice address
609 W CLINTON ST, ITHACA, NY 14850-5255
(607) 272-7775
(607) 272-7776
Mailing address
609 W CLINTON ST, ITHACA, NY 14850-5255
(607) 272-7775
(607) 272-7776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV003728
NY
156FC0801X
Contact Lens Fitter
5536217
NY
156FX1800X
Optician
Primary
3079
NY
156FX1800X
Optician
C006861-1
NY
Other
Enumeration date
08/31/2007
Last updated
04/20/2008
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