Bruce J Rogers
Organization Active NPI Optician · Potsdam, NY
NPI 1386703296 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1386703296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 0055651 (NY)
- Legal business name
- BRUCE J ROGERS
- Practice address
- 22 Depot St
Market Squre Mall Suite Z
Potsdam, NY 13676-1140 - Phone
- (315) 265-2675
- Fax
- (315) 265-3899
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Bruce J Rogers, OPTICIAN OWNER
- Title
- Optician Owner
- Phone
- (315) 265-2675
National Provider Directory
Locations
22 Depot St
Stop Z
Potsdam, NY 13676
Phone (315) 265-2675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 0055651 | NY | Yes |
| Eyewear Supplier | 332H00000X | NY |
Addresses
Primary practice location
22 Depot St
Market Squre Mall Suite Z
Potsdam, NY 13676-1140
Mailing address
22 Depot St.
Market Squre Mall Suite Z
Potsdam, NY 13676
Phone (315) 265-2675
Other names
- Potsdam Optical Center
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.