Organization
TIMOTHY J. GRACE O.D.,P.C.
Active
Other names
Chautauqua Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J. GRACE O.D. (OPTOMETRIST/OWNER)
(716) 488-1148
Entity
Organization
Contact information
Practice address
548 W 3RD ST, JAMESTOWN, NY 14701-4733
(716) 488-1148
(716) 488-0047
Mailing address
548 W 3RD ST, JAMESTOWN, NY 14701-4733
(716) 488-1148
(716) 488-0047
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV004521-1
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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