Organization
THE OPTICAL STORE
Active
Organization
THE OPTICAL STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L GALLA (OFFICE MANAGER)
(716) 874-4554
Entity
Organization
Contact information
Practice address
3750 DELAWARE AVE, KENMORE, NY 14217-1002
(716) 874-4554
(716) 874-4555
Mailing address
3750 DELAWARE AVE, KENMORE, NY 14217-1002
(716) 874-4554
(716) 874-4555
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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