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Organization

OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Active
Other names
Oak Orchard Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES J CUMMINGS (CEO)
(585) 637-3905
Entity
Organization

Contact information

Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355308
NY
01
17209159
EXCELLUS VENDOR #
NY
01
179014CT
PREFERRED CARE VENDOR #
NY
Enumeration date
09/11/2007
Last updated
12/03/2015
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