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Organization

MASSENA OPTICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLAN MICHAEL KIESWETTER OPTICIAN (OPTICIAN/OWNER)
(315) 769-5881
Entity
Organization

Contact information

Practice address
55 MAIN ST, MASSENA, NY 13662-1913
(315) 769-5881
(315) 769-3997
Mailing address
55 MAIN ST, MASSENA, NY 13662-1913
(315) 769-5881
(315) 769-3997

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3272
NY

Other

Enumeration date
08/23/2008
Last updated
08/23/2008
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