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
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
04/15/2013
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