Organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Active
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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