Optivision

Organization Active NPI Eyewear Supplier · Cortland, NY

NPI 1699983262 · NPPES record last updated Sep 16, 2009

Key facts

NPI
1699983262
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
License
4079 (NY)
Legal business name
OPTIVISION
Practice address
3662 The Park
Cortland, NY 13045-3324
Phone
(607) 753-7514
Fax
(607) 753-7515
NPI assigned
May 18, 2007
Organization subpart
No

Authorized official

Name
Mr. Kenneth W McNeil
Title
Optician,Owner
Phone
(607) 753-7514

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X TUV005032 NY
Optician
Group: 193200000X MULTI-SPECIALTY GROUP
156FX1800X 4079 NY
Eyewear Supplier 332H00000X TUV005032 NY
Eyewear Supplier 332H00000X 4079 NY Yes

Addresses

Primary practice location

3662 The Park
Cortland, NY 13045-3324

Mailing address

3662 The Park
Cortland, NY 13045-3324
Phone (607) 753-7514

Other providers in Cortland, NY

All providers in Cortland, NY · Eyewear Supplier in New York

Sources for this page

Verify at the official NPI Registry.