Organization
BINGHAMTON OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P WHITING OPTICIAN (PRESIDENT)
(607) 723-8357
Entity
Organization
Contact information
Practice address
17 MAIN STREET, BINGHAMTON, NY 13905
(607) 723-8357
(607) 723-9017
Mailing address
17 MAIN STREET, BINGHAMTON, NY 13905
(607) 723-8357
(607) 723-9017
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C4708
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470328
—
NY
Enumeration date
08/29/2006
Last updated
03/31/2014
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