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Organization

HORNELL EYE ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY FORSHEE (OWNER)
(607) 324-4822
Entity
Organization

Contact information

Practice address
34 BROADWAY MALL, HORNELL, NY 14843-1920
(607) 324-4822
Mailing address
34 BROADWAY MALL, HORNELL, NY 14843-1920
(607) 324-4822

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004055
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00465816
NY
05
00879314
NY
05
01624708
NY
Enumeration date
01/10/2008
Last updated
02/13/2008
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