Organization Name: | RAYMOND OPTICIANS |
NPI Number: | 1558402974 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND J KOLKMANN (OWNER) |
Mailing Address: | 3630 Hill Blvd Suite 203 Jefferson Valley |
State: | NY US |
Postal Code: | 105351502 |
Phone Number: | 9142455151 |
Fax Number: | 9142457157 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 4025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |