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Organization

COLUMBIA VISION CARE, OD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER M BROOKS OPTICIAN (OWNER)
(518) 822-9060
Entity
Organization

Contact information

Practice address
389 FAIRVIEW AVE, HUDSON, NY 12534-1222
(518) 822-9060
(518) 822-9062
Mailing address
389 FAIRVIEW AVE, HUDSON, NY 12534-1222
(518) 822-9060
(518) 822-9062

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005879
NY
156FX1800X
Optician
Primary
008662
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02373375
NY
05
03238988
NY
Enumeration date
09/15/2010
Last updated
09/15/2010
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