Organization
SILVER CREEK OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FORD (PRESIDENT)
(716) 934-3030
Entity
Organization
Contact information
Practice address
41 MAIN ST, SILVER CREEK, NY 14136-1416
(716) 934-3030
(716) 934-4960
Mailing address
41 MAIN ST, P.O. BOX #109, SILVER CREEK, NY 14136-1416
(716) 934-3030
(716) 934-4960
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003655-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610619
—
NY
Enumeration date
03/13/2007
Last updated
03/07/2008
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