Organization
TOWN & COUNTRY OPTICAL,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A LARROW (OPTICIAN-MANAGER)
(518) 793-5395
Entity
Organization
Contact information
Practice address
535 BAY RD, QUEENSBURY, NY 12804-3018
(518) 793-5395
(518) 793-5543
Mailing address
535 BAY RD, QUEENSBURY, NY 12804-3018
(518) 793-5395
(518) 793-5543
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
005800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C9W05
EMPIRE BLUE CROSS
NY
Enumeration date
01/09/2007
Last updated
08/22/2020
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