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Mr. Charles V Gilmore, OP
Optician in Horseheads, New York
NPI 1740480144

Charles V Gilmore is a Optician based in Horseheads, NY and is specialized in Optician. Charles V Gilmore practices in Horseheads, NY and has the professional credentials of OP. The NPI Number for Charles V Gilmore is 1740480144 and holds a License No. 006058 (New York).

The current practice location address for Charles V Gilmore is 380 Lattabrook Rd, Horseheads, NY and can be reached out via phone at 607-739-9992.

Location: 380 Lattabrook Rd, Horseheads, NY, 14845-9010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740480144
Provider Name
Charles V Gilmore
Credential
OP
Provider Entity Type
Individual
Gender
Male
Address
380 Lattabrook Rd, Horseheads, NY, 14845-9010
Phone Number
607-739-9992
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
006058 01 NY STATE LICENSE FOR OPTICIA
institution
Provider Business Practice Location Address Details
Address
380 Lattabrook Rd
City
Horseheads
State
New York
Zip
14845-9010
Phone Number
607-739-9992
Fax Number
person
Provider Business Mailing Address Details
Address
380 Lattabrook Rd
City
Horseheads
State
New York
Zip
14845-9010
Phone Number
607-739-9992
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
006058 (New York)
Definition
Definition to come...
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