Organization
BINGHAMTON OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P WHITING (PRESIDENT)
(607) 723-8357
Entity
Organization
Contact information
Practice address
58 NORTH AVE, OWEGO, NY 13827-1307
(607) 687-1174
(607) 687-1175
Mailing address
58 NORTH AVE, OWEGO, NY 13827-1307
(607) 687-1174
(607) 687-1175
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C3644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470048
—
NY
Enumeration date
10/11/2006
Last updated
02/07/2008
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