Organization
WIN VISION BOUTIQUE LLC
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SHASHATI (PROFESSIONAL SERVICES)
(858) 414-3513
Entity
Organization
Contact information
Practice address
22 CLIFTON COUNTRY RD STE 175, CLIFTON PARK, NY 12065-3864
(518) 371-1881
Mailing address
22 CLIFTON COUNTRY RD STE 175, CLIFTON PARK, NY 12065-3864
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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