Organization
WATERTOWN MEDICAL OPTICAL PLLC
Active
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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