Individual
MRS. LEELEE MUESEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
100 MAIN ST, BROCKPORT, NY 14420
(585) 637-0430
(585) 637-8016
Mailing address
100 MAIN ST, BROCKPORT, NY 14420
(585) 637-0430
(585) 637-8016
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
37241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103285CT
PREFERRED CARE
NY
01
—
8749
BCBS
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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