Organization
PLAZA OPTICAL OF MONROE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY UTNICK OPHTHALMIC DISTPENSE (MANAGER)
(845) 783-4400
Entity
Organization
Contact information
Practice address
475 STATE ROUTE 17M, PLAZA OPTICAL, MONROE, NY 10950-4169
(845) 783-4400
(845) 782-4041
Mailing address
475 STATE ROUTE 17M, PLAZA OPTICAL, MONROE, NY 10950-4169
(845) 783-4400
(845) 782-4041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
UT5263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U32923
BLUECROSS BLUESHIELD
NY
Enumeration date
10/25/2007
Last updated
10/25/2007
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