Organization
DEBORILA, INC
Active
Other names
Leahy Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE STONE OPHTHALMIC DISPENSER (PARTNER)
(631) 283-4244
Entity
Organization
Contact information
Practice address
145 MAIN ST, SOUTHAMPTON, NY 11968-4810
(631) 283-4244
(631) 283-4328
Mailing address
145 MAIN ST, SOUTHAMPTON, NY 11968-4810
(631) 283-4244
(631) 283-4328
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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