Kim Lynn Crandall

Individual provider Active NPI Optician · Dansville, NY

NPI 1992359178 · NPPES record last updated Jul 26, 2019

Key facts

NPI
1992359178
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
Practice address
111 Clara Barton St
Dansville, NY 14437
Phone
(585) 335-2583
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Yes

Addresses

Primary practice location

111 Clara Barton St
Dansville, NY 14437

Mailing address

111 Clara Barton St
Dansville, NY 14437-9503

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dansville@uesoptical.com

Other providers in Dansville, NY

All providers in Dansville, NY · Optician in New York

Sources for this page

Verify at the official NPI Registry.