Organization
MASTERMAN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MASTERMAN OPT. (OWNER)
(315) 834-9841
Entity
Organization
Contact information
Practice address
8934 N SENECA ST, WEEDSPORT, NY 13166-8566
(315) 834-8941
Mailing address
8934 N SENECA ST, P O BOX 678, WEEDSPORT, NY 13166-8566
(315) 834-8941
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610302
—
NY
05
—
02186423
—
NY
Enumeration date
04/13/2007
Last updated
08/22/2020
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