Organization
OPTIVISION OF ITHACA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SCOTT POTENZA (PRESIDENT)
(607) 272-7441
Entity
Organization
Contact information
Practice address
106 E STATE ST, ITHACA, NY 14850-5542
(607) 272-7441
Mailing address
106 E STATE ST, ITHACA, NY 14850-5542
(607) 272-7441
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004683-1
NY
Other
Enumeration date
11/28/2006
Last updated
06/10/2008
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