Organization
WATERTOWN MEDICAL OPTICAL PLLC
Active
Other names
NOAMAN SANNI MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS PRASHAW OPTHALMIC DISPENSER (MANAGER)
(315) 393-7171
Entity
Organization
Contact information
Practice address
77 W BARNEY ST STE F, GOUVERNEUR, NY 13642-1040
(315) 287-3638
(315) 287-3656
Mailing address
77 W BARNEY ST STE F, GOUVERNEUR, NY 13642-1040
(315) 287-3638
(315) 287-3656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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