NPI 1700974946

South Park Optical, INC.

Organisation Eyewear Supplier Blasdell, NY

Practice location

Address: 3861 S Park Ave, Blasdell, NY 14219-1813
Phone: (716) 823-6093

Authorised official

Name: James Gordon Beiter
Title: Optician
Phone: (716) 823-6093

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 5093 (NY)

Other Eyewear Supplier providers in New York →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X Licence C-5093-1 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1700974946
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 5 Dec 2014

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.