Louise Margarette Andre-Joseph, OPTICIAN

Individual provider Active NPI Optician · Queensbury, NY

NPI 1508632902 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1508632902
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
License
01053701 (NY)
Practice address
24 Quaker RDG
Queensbury, NY 12804-1556
Phone
(518) 746-4159
Fax
(518) 761-3074
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01053701NYMDOptician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 01053701 NY Yes

Addresses

Primary practice location

24 Quaker RDG
Queensbury, NY 12804-1556

Mailing address

35 Northwest Rd
Queensbury, NY 12804-8310
Phone (518) 588-2292

Other providers in Queensbury, NY

All providers in Queensbury, NY · Optician in New York

Sources for this page

Verify at the official NPI Registry.