Organization
JANNENS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN PAUL JANNEN (OPTICIAN OWNER)
(315) 492-1774
Entity
Organization
Contact information
Practice address
11 COURT ST, BINGHAMTON, NY 13901-3101
(607) 724-2222
(607) 722-4430
Mailing address
11 COURT ST, BINGHAMTON, NY 13901-3101
(607) 724-2222
(607) 722-4430
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5319-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03434324
—
NY
Enumeration date
12/31/2015
Last updated
05/15/2016
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