Organization
SOUTHTOWN VISION INC
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L JOHNSON (PRESIDENT)
(585) 394-1128
Entity
Organization
Contact information
Practice address
3333 W HENRIETTA RD, ROCHESTER, NY 14623-3543
(585) 424-5970
(585) 424-5973
Mailing address
PO BOX 162, CANANDAIGUA, NY 14424-0162
(585) 394-1128
(585) 394-6877
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8812
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/29/2005
Last updated
08/22/2020
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