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Organization

BRITE EYES OPTICAL, INC.

Active
Other names
Williamson Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN C. HAMMER O.D. (OWNER OPTOMETRIST)
(518) 762-9262
Entity
Organization

Contact information

Practice address
214 N COMRIE AVE, JOHNSTOWN MALL, JOHNSTOWN, NY 12095-1502
(518) 762-4402
(518) 762-4402
Mailing address
ROUTE 30A, JOHNSTOWN MALL, JOHNSTOWN, NY 12095
(518) 762-4402
(518) 762-4402

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3455
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53619A
MEDICARE PTAN
NY
Enumeration date
12/21/2006
Last updated
11/24/2008
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