Organization
WEST ELMIRA OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY W OBRIEN (OWNER)
(607) 733-2141
Entity
Organization
Contact information
Practice address
227 HOFFMAN ST, ELMIRA, NY 14905
(607) 733-2141
(607) 734-8138
Mailing address
227 HOFFMAN ST, ELMIRA, NY 14905
(607) 733-2141
(607) 734-8138
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0029231
NY
Other
Enumeration date
12/05/2006
Last updated
09/03/2008
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