Organization
UNIVERSITY OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER C. HUBER (BUSINESS MANAGER)
(585) 786-8505
Entity
Organization
Contact information
Practice address
2469 STATE ROUTE 19 N, WARSAW, NY 14569-9336
(585) 786-8505
(585) 786-8490
Mailing address
2469 STATE ROUTE 19 N, WARSAW, NY 14569-9336
(585) 786-8505
(585) 786-8490
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011258003
UNIVERA HEALTHCARE BUFFAL
NY
01
—
0005177624
AETNA
NY
01
—
106386CT
PREFERRED CARE
NY
01
—
OP1387
EYEMED/INDEPENDENT HEALTH
NY
01
—
P017157362
BCBS ROCHESTER
NY
Enumeration date
03/08/2006
Last updated
01/11/2008
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