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The Optical Room Inc
Customized Equipment (DME) in Brockport, New York
NPI 1295810182

The Optical Room Inc is a Customized Equipment (DME) based in Brockport, NY and is specialized in Customized Equipment. The Optical Room Inc practices in Brockport, NY. The NPI Number for The Optical Room Inc is 1295810182 and holds a License No. 003478 (New York).

The current practice location address for The Optical Room Inc is 20 West Ave, Brockport, NY and can be reached out via phone at 585-637-5858.

Location: 20 West Ave, Brockport, NY, 14420-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295810182
Provider Name
The Optical Room Inc
Credential
Provider Entity Type
Organization
Address
20 West Ave, Brockport, NY, 14420-1304
Phone Number
585-637-5858
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01712234 05 NM
8779 01 NM BLUE SHIELD VISION
institution
Provider Business Practice Location Address Details
Address
20 West Ave
City
Brockport
State
New York
Zip
14420-1304
Phone Number
585-637-5858
Fax Number
person
Provider Business Mailing Address Details
Address
20 West Ave
City
Brockport
State
New York
Zip
14420-1304
Phone Number
585-637-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
003478 (New York)
Definition
Definition to come...
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