Individual
ANNE LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
351 E ORVIS ST, MASSENA, NY 13662-4232
(315) 276-3335
(315) 215-0388
Mailing address
351 E ORVIS ST, MASSENA, NY 13662-4232
(315) 276-3335
(315) 215-0388
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
9206-1
NY
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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