Organization
COLUMBIA OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ROTH (PRESIDENT)
(212) 316-2020
Entity
Organization
Contact information
Practice address
1246 AMSTERDAM AVE, NEW YORK, NY 10027-5924
(212) 316-2020
Mailing address
1246 AMSTERDAM AVE, NEW YORK, NY 10027-5924
(212) 316-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4351
NY
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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