Organization
RODABAUGH OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD T RODABAUGH (OWNER)
(607) 739-9121
Entity
Organization
Contact information
Practice address
126 S MAIN ST, HORSEHEADS, NY 14845-2443
(607) 739-9121
Mailing address
126 S MAIN ST, HORSEHEADS, NY 14845-2443
(607) 739-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
005967
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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