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Mr. Raymond A Klark JR., OPTICIAN
Optician in Tonawanda, New York
NPI 1639292535

Raymond A Klark JR. is a Optician based in Tonawanda, NY and is specialized in Optician. Raymond A Klark JR. practices in Tonawanda, NY and has the professional credentials of OPTICIAN. The NPI Number for Raymond A Klark JR. is 1639292535 and holds a License No. 4077 (New York).

The current practice location address for Raymond A Klark JR. is 236 Pinewoods Ave, Tonawanda, NY and can be reached out via phone at 716-836-1909 and via fax at 716-434-7809.

Location: 236 Pinewoods Ave, Tonawanda, NY, 14150-7068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639292535
Provider Name
Raymond A Klark JR.
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
236 Pinewoods Ave, Tonawanda, NY, 14150-7068
Phone Number
716-836-1909
Fax Number
716-434-7809
Provider Enumeration Date
04/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00707231 05 NY
institution
Provider Business Practice Location Address Details
Address
236 Pinewoods Ave
City
Tonawanda
State
New York
Zip
14150-7068
Phone Number
716-836-1909
Fax Number
716-434-7809
person
Provider Business Mailing Address Details
Address
236 Pinewoods Ave
City
Tonawanda
State
New York
Zip
14150-7068
Phone Number
716-836-1909
Fax Number
716-434-7809
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
4077 (New York)
Definition
Definition to come...
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