Organization
JAG VISION
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD AUSTIN DISPENSING OPTICIAN (VICE PRESIDENT)
(716) 634-9129
Entity
Organization
Contact information
Practice address
8005 MAIN ST, WILLIAMSVILLE, NY 14221-6016
(716) 634-9129
(716) 634-9243
Mailing address
PO BOX 217, PHELPS, NY 14532-0217
(315) 318-4054
(315) 318-4054
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
004724-1
NY
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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