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Mr. Richard Calvin Vangorden
Optician in Massena, New York
NPI 1992041628

Richard Calvin Vangorden is a Optician based in Massena, NY and is specialized in Optician. Richard Calvin Vangorden practices in Massena, NY. The NPI Number for Richard Calvin Vangorden is 1992041628 and holds a License No. 009434 (New York).

The current practice location address for Richard Calvin Vangorden is 48 Main St, Massena, NY and can be reached out via phone at 315-764-7001 and via fax at 315-764-5615.

Location: 48 Main St, Massena, NY, 13662-1984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992041628
Provider Name
Richard Calvin Vangorden
Credential
Provider Entity Type
Individual
Gender
Male
Address
48 Main St, Massena, NY, 13662-1984
Phone Number
315-764-7001
Fax Number
315-764-5615
Provider Enumeration Date
12/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
48 Main St
City
Massena
State
New York
Zip
13662-1984
Phone Number
315-764-7001
Fax Number
315-764-5615
person
Provider Business Mailing Address Details
Address
48 Main St
City
Massena
State
New York
Zip
13662-1984
Phone Number
315-764-7001
Fax Number
315-764-5615
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
009434 (New York)
Definition
Definition to come...
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