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Organization

SPECTACLE SHOPPE LLC

Active
Other names
The Spectacle Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS E RYDER (OWNER)
(518) 561-7170
Entity
Organization

Contact information

Practice address
224 TOM MILLER RD, PLATTSBURGH, NY 12901-6427
(518) 561-6129
Mailing address
224 TOM MILLER RD, PLATTSBURGH, NY 12901-6427
(518) 561-6129

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01440642
NY
05
01649265
NY
Enumeration date
02/13/2008
Last updated
05/12/2008
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