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Organization

LANCE TRISTAN ENTERPRISES, INC.

Active
Other names
Austin Ryan Optika
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL THOMAS FRAYLER DO (CEO)
(845) 636-6571
Entity
Organization

Contact information

Practice address
243 ROUTE 59, AIRMONT, NY 10901
(845) 368-2202
(845) 504-5484
Mailing address
243 ROUTE 59, AIRMONT, NY 10901
(845) 368-2202
(845) 504-5484

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
08/21/2023
Last updated
03/06/2024
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