Organization
ELEGANCE OPTIQUE II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL SAN GEORGE (OWNER/OPTICIAN)
(716) 874-4600
Entity
Organization
Contact information
Practice address
1754 SHERIDAN DR, BUFFALO, NY 14223-1212
(716) 874-4600
(716) 874-4602
Mailing address
1754 SHERIDAN DR, BUFFALO, NY 14223-1212
(716) 874-4600
(716) 874-4602
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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