Organization
NORTH COUNTRY EYE ASSOC..LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY M BULAS OD (OWNER/ADMINISTRATOR)
(315) 896-3900
Entity
Organization
Contact information
Practice address
8024 STATE ROUTE 12, BARNEVELD, NY 13304
(315) 896-3900
(315) 896-3905
Mailing address
8024 RT 12, BARNEVELD, NY 13304
(315) 896-3900
(315) 896-3905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0048421
NY
Other
Enumeration date
03/27/2007
Last updated
07/31/2015
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