Binghamton Optical Inc
Organization Active NPI Eyewear Supplier · Medina, NY
NPI 1285704924 · NPPES record last updated Feb 7, 2008
Key facts
- NPI
- 1285704924
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- C53491 (NY)
- Legal business name
- BINGHAMTON OPTICAL INC
- Practice address
- 415 Main St
Medina, NY 14103 - Phone
- (585) 798-4671
- Fax
- (585) 798-4672
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin P Whiting
- Title
- President
- Phone
- (607) 723-8357
Corporate family (same tax ID) 10
Practitioners 1
-
Eugene F Young, OPTICIAN
National Provider Directory
- Tax ID family
- Binghamton Optical Inc
Locations
415 Main St
Medina, NY 14103
Phone (585) 798-4671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | C53491 | NY | Yes |
Addresses
Primary practice location
415 Main St
Medina, NY 14103
Mailing address
415 Main St
Medina, NY 14103
Phone (585) 798-4671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01535648 | Medicaid | NY |
Other names
- Lockport Optical
Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2008. 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.