Organization
BINGHAMTON OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P WHITING (PRESIDENT)
(607) 723-8357
Entity
Organization
Contact information
Practice address
13 PUBLIC AVE, MONTROSE, PA 18801
(570) 278-4207
Mailing address
13 PUBLIC AVE, MONTROSE, PA 18801
(570) 278-4207
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007287730002
—
PA
Enumeration date
10/11/2006
Last updated
08/22/2020
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