Organization
GREAT NORTHERN OPTICAL EQUIPMENT INC.
Active
Other names
sterling optical 291
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL FRANCIS AZZOTO OD (OPTOMETRIST)
(315) 622-4607
Entity
Organization
Contact information
Practice address
7903 BREWERTON RD, WEST MARINE PLAZA, CICERO, NY 13039-9531
(315) 699-1700
(315) 699-1700
Mailing address
7903 BREWERTON RD, WEST MARINE PLAZA, CICERO, NY 13039-9531
(315) 699-1700
(315) 699-1700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003420-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01808566
—
NY
Enumeration date
07/19/2006
Last updated
10/16/2009
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