Organization
RUSH HENRIETTA OPTICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E. WISE (OFFICE MANAGER)
(585) 334-9190
Entity
Organization
Contact information
Practice address
2824 E HENRIETTA RD, HENRIETTA, NY 14467-9322
(585) 334-9190
Mailing address
2824 E HENRIETTA RD, HENRIETTA, NY 14467-9322
(585) 334-9190
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004773-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143179CT
PREFERRED CARE
NY
Enumeration date
01/04/2007
Last updated
08/22/2020
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