Organization
THE OPTICAL SHOP OF LATHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EVAN BRASS MD (OWNER)
(518) 782-7827
Entity
Organization
Contact information
Practice address
713 TROY SCHENECTADY RD, SUITE 135, LATHAM, NY 12110-2490
(518) 782-7827
(518) 782-7820
Mailing address
713 TROY SCHENECTADY RD, SUITE 135, LATHAM, NY 12110-2490
(518) 782-7827
(518) 782-7820
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
01/13/2010
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