NPI 1023644291

Martha Canon, LDO

Practitioner Optician New York, NY

Practice location

Address: 1440 Broadway # 10826, New York, NY 10018-2301
Phone: (212) 221-3844
Mailing address: 11605 N Lamar Blvd, Austin, TX 78753-2658

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 009898 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1023644291
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2020
Record last updated: 19 Mar 2020

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.