Creighton Optical
Organization Active NPI Eyewear Supplier · Alden, NY
NPI 1003196155 · NPPES record last updated Aug 22, 2011
Key facts
- NPI
- 1003196155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 006357 (NY)
- Legal business name
- CREIGHTON OPTICAL
- Practice address
- 13375 Broadway St
Alden, NY 14004-1410 - Phone
- (716) 937-7373
- Fax
- (716) 937-4136
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin F Creighton, OPTICIAN
- Title
- Owner
- Phone
- (716) 937-7373
Practitioners 2
-
Joseph F Kuczmarski, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 006357 | NY | Yes |
Addresses
Primary practice location
13375 Broadway St
Alden, NY 14004-1410
Mailing address
13375 Broadway St
Alden, NY 14004-1410
Phone (716) 937-7373
Other names
- DBA Kevin Creighton
Other providers in Alden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.