Organization
MAHOPAC EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LYNNE COLEMAN MD (PRESIDENT)
(845) 628-8788
Entity
Organization
Contact information
Practice address
7 MILLER ROAD, MAHOPAC, NY 10541-0959
(845) 628-8788
(845) 628-9581
Mailing address
PO BOX 959, MAHOPAC, NY 10541-0959
(845) 628-8788
(845) 628-9581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133954276
DAVIS VISION
NY
Enumeration date
07/31/2006
Last updated
10/04/2011
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