Individual
GARTH A COURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
204 MAIN ST SHOP CENTRE, WATERLOO, NY 13165
(315) 539-1209
(315) 539-1209
Mailing address
204 MAIN ST SHOP CENTRE, WATERLOO, NY 13165
(315) 539-1209
(315) 539-1209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103006CT
PREFERRED CARE
—
Enumeration date
11/27/2006
Last updated
07/08/2007
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