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Organization

WATERTOWN MEDICAL OPTICAL PLLC

Active
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Organization

WATERTOWN MEDICAL OPTICAL PLLC

Active
Other names
Noaman Sanni dba Watertown Medical Optical PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NOAMAN SANNI MD (OWNER)
(315) 788-6070
Entity
Organization

Contact information

Practice address
1815 STATE STREET, WATERTOWN, NY 13601
(315) 786-8064
(315) 788-1950
Mailing address
1815 STATE STREET, WATERTOWN, NY 13601
(315) 786-8064
(315) 788-1950

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
VUT0053871
NY
207W00000X
Ophthalmology Physician
2060481
NY
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/19/2007
Last updated
04/15/2013
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