Organization
HALL OPTICAL
Active
Other names
Gary H Nelson
Organization subpart
No
Provider details
NPI number
Authorized official
GARY H NELSON OPTICIAN (OWNER)
(716) 483-1955
Entity
Organization
Contact information
Practice address
707 FAIRMOUNT AVE, SUITE 11, JAMESTOWN, NY 14701-2623
(716) 483-1955
Mailing address
707 FAIRMOUNT AVE, SUITE 11, JAMESTOWN, NY 14701-2623
(716) 483-1955
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4127-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622211
—
NY
Enumeration date
03/06/2009
Last updated
11/08/2011
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