Organization
LANGE AND VIGLUCCI OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J VIGLUCCI OD (OPTOMETRIST)
(607) 656-4485
Entity
Organization
Contact information
Practice address
29 N CHENANGO ST, GREENE, NY 13778-1139
(607) 656-4485
(607) 656-4648
Mailing address
29 N CHENANGO ST, GREENE, NY 13778-1139
(607) 656-4485
(607) 656-4648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728258
—
NY
01
—
161368129
TAX NUMBER
NY
01
—
52998A
MEDICARE PTAN
NY
Enumeration date
03/12/2007
Last updated
04/29/2015
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