Organization
EYE DANCE AND SCREEN
Active
Organization
EYE DANCE AND SCREEN
Active
Parent organization
M B KAYANI PHYSICIAN PC
Other names
Eye Dance and Screen
Organization subpart
Yes
Provider details
NPI number
Legal business name
M B KAYANI PHYSICIAN PC
Authorized official
DORIS PRASHAW OPTICIAN (MANAGER)
(315) 755-6348
Entity
Organization
Contact information
Practice address
1218 ARSENAL ST, WATERTOWN, NY 13601-2214
(315) 755-6348
Mailing address
1218 ARSENAL ST, WATERTOWN, NY 13601-2214
(315) 755-6348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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