Organization
SILBERT OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDREW DIVIETRO OPTICIAN (OWNER)
(315) 253-7032
Entity
Organization
Contact information
Practice address
97 GENESEE ST, AUBURN, NY 13021-3615
(315) 253-7032
Mailing address
97 GENESEE ST, AUBURN, NY 13021-3615
(315) 253-7032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV004966-1
NY
156FX1800X
Optician
Primary
C006767-1
NY
Other
Enumeration date
07/10/2007
Last updated
01/07/2008
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