Organization
JAMESTOWN OPTOMETRIC GROUP, PC
Active
Other names
Spectrum Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J COLBURN O.D. (PARTNER)
(716) 664-7601
Entity
Organization
Contact information
Practice address
555 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2750
(716) 664-7601
(716) 664-3353
Mailing address
555 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2750
(716) 664-7601
(716) 664-3353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1750
NC
152W00000X
Optometrist
Primary
TUV003267-1
NY
152W00000X
Optometrist
TUV003318-1
NY
152W00000X
Optometrist
TUV005272-1
NY
152W00000X
Optometrist
TUV006073-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA3840
METRA HEALTH RAILROAD
NY
01
—
Y051712
TRICARE
NY
Enumeration date
10/18/2005
Last updated
04/15/2008
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