Organization
DELAWARE OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAHEL ANTHONY NASCA OPTICIAN (OWNER)
(716) 876-2010
Entity
Organization
Contact information
Practice address
2138 DELAWARE AVE, BUFFALO, NY 14216-3210
(716) 876-2010
Mailing address
2138 DELAWARE AVE, BUFFALO, NY 14216-3210
(716) 876-2010
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4126
NY
Other
Enumeration date
03/07/2009
Last updated
04/27/2009
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