Organization
CREATIVE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A EWING-CHOW M.D. (MEMBER)
(315) 788-0022
Entity
Organization
Contact information
Practice address
826 WASHINGTON ST, SUITE 100, WATERTOWN, NY 13601-4063
(315) 755-2530
(315) 755-2531
Mailing address
826 WASHINGTON ST, SUITE 100, WATERTOWN, NY 13601-4063
(315) 755-2530
(315) 755-2531
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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