Organization
NORTH COUNTRY OPHTHALMOLOGY ASSOCIATES PC
Active
Other names
The Optical Outlet
Organization subpart
No
Provider details
NPI number
Authorized official
DENYS BEAUVAIS M.D. (PRESIDENT)
(315) 393-3937
Entity
Organization
Contact information
Practice address
3 LYON PL, SUITE 101, OGDENSBURG, NY 13669-2590
(315) 393-3937
(315) 393-0591
Mailing address
3 LYON PL, SUITE 101, OGDENSBURG, NY 13669-2590
(315) 393-3937
(315) 393-0591
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C7949-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880533
—
NY
Enumeration date
10/08/2015
Last updated
11/01/2017
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