Individual
MRS. PAULA L JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3995 BUCKTOOTH RUN RD, PRIVATE EYES OPTICAL, LITTLE VALLEY, NY 14755-9414
(716) 307-7435
(716) 945-2031
Mailing address
3995 BUCKTOOTH RUN RD, PRIVATE EYES OPTICAL, LITTLE VALLEY, NY 14755-9414
(716) 307-7435
(716) 945-2031
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C005176
NY
Other
Enumeration date
10/04/2006
Last updated
01/27/2011
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