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Organization

MARK M. AINSWORTH

Active
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Organization

MARK M. AINSWORTH

Active
Other names
Herkimer EyeCare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARK M AINSWORTH OD (OWNER/OPTOMETRIST)
(315) 866-9667
Entity
Organization

Contact information

Practice address
394 E STATE ST, HERKIMER, NY 13350-2026
(315) 866-9667
(315) 866-9668
Mailing address
394 E STATE ST, HERKIMER, NY 13350-2026
(315) 866-9667
(315) 866-9668

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005303-1
NY
332H00000X
Eyewear Supplier
Primary
TUV005303-1
NY

Other

Enumeration date
01/16/2008
Last updated
06/16/2008
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