Organization
WESTTOWN OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN P. RICHARDS (OFFICE MANAGER)
(607) 272-7775
Entity
Organization
Contact information
Practice address
609 W CLINTON ST, ITHACA, NY 14850-5255
(607) 272-7775
(607) 319-5178
Mailing address
609 W CLINTON ST, ITHACA, NY 14850-5255
(607) 272-7775
(607) 319-5178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T3728
NY
156FC0801X
Contact Lens Fitter
C006861-1
NY
156FX1800X
Optician
003079-1
NY
156FX1800X
Optician
Primary
C006861-1
NY
Other
Enumeration date
05/08/2008
Last updated
06/29/2011
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