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Organization

EYES ON HARLEM

Active
Parent organization
BOBS EYES DOWNTOWN
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOBS EYES DOWNTOWN
Authorized official
MS. LISA CUDMORE (MANAGER)
(716) 893-0633
Entity
Organization

Contact information

Practice address
2507 HARLEM RD, CHEEKTOWAGA, NY 14225-4527
(716) 893-0633
(716) 893-0633
Mailing address
2507 HARLEM RD, CHEEKTOWAGA, NY 14225-4527
(716) 893-0633
(716) 893-0633

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000300015004
BLUE CROSS/BLUE SHIELD OF WESTERN NEW YORK
NY
Enumeration date
07/23/2013
Last updated
07/23/2013
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