Organization
JAG VISION
Active
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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