Organization
BLACKMER FAMILY EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAN SONG BLACKMER (LICENSED OPTICIAN/OWNER)
(315) 857-5402
Entity
Organization
Contact information
Practice address
9519 BREWERTON RD STE 119, BREWERTON, NY 13029-9715
(315) 857-5402
Mailing address
9519 BREWERTON RD STE 119, BREWERTON, NY 13029-9715
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
55 006556
NY
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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