Organization
COXSACKIE OPTOMETRIC PC
Active
Other names
Coxsackie Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA E HAMMERER OD (OWNER PARTNER)
(518) 731-9405
Entity
Organization
Contact information
Practice address
10 A ELY ST, COXSACKIE, NY 12051-1216
(518) 731-9405
Mailing address
83 MANSION ST, COXSACKIE, NY 12051-1216
(518) 731-9405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0048681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000840M202
CDPHP
NY
01
—
59125
MVP
NY
01
—
C198A
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/15/2006
Last updated
07/22/2008
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