NPI 1013300581

Sporty Spex

Organisation Eyewear Supplier Troy, NY

Practice location

Address: 740 Hoosick Rd, Troy, NY 12180-6679
Phone: (518) 328-8364

Authorised official

Name: Kevin Walker
Title: Optician
Phone: (518) 328-8364

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 005468-1 (NY)

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Registry record

NPI: 1013300581
Entity type: Organization
NPI issued: 9 Mar 2015
Record last updated: 9 Mar 2015

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.