NPI 1013294685

Enchanted Mountain Optometry,pllc

Organisation Eyewear Supplier Olean, NY

Practice location

Address: 912 W State St, Olean, NY 14760-2242
Phone: (716) 373-0766

Authorised official

Name: Tracy L Ludden
Title: Optometrist
Phone: (716) 373-0766

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence T005716 (NY)

Other Eyewear Supplier providers in New York →

Registry record

NPI: 1013294685
Entity type: Organization
NPI issued: 10 Nov 2011
Record last updated: 10 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.