Organization
GEORGE OPTICAL CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LOUIS FERNANDEZ OPTICIAN (PRESIDENT)
(716) 282-7377
Entity
Organization
Contact information
Practice address
1523 PINE AVE, NIAGARA FALLS, NY 14301-2209
(716) 282-7377
(716) 282-7382
Mailing address
PO BOX 927, NIAGARA FALLS, NY 14302-0927
(716) 282-7377
(716) 282-7382
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004400-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026744401
UNIVERA
—
01
—
00300164001
BC/BS
—
01
—
7309985
INDEPENDENT HEALTH
—
01
—
NY4300
EYEMED VISION CARE
—
Enumeration date
12/08/2005
Last updated
06/13/2008
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