Organization
THE SPEC SHOP OPHTHALMIC DISPENSER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW WILLIAM CURRIE OPTICIAN (OWNER/ OPTICIAN)
(716) 881-7926
Entity
Organization
Contact information
Practice address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7926
Mailing address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7926
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
55-009312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03541260
—
NY
Enumeration date
05/18/2018
Last updated
05/18/2018
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