| Organization Name: | CREIGHTON OPTICAL |
| NPI Number: | 1609099563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES F CREIGHTON (OPTICIAN OWNER) |
| Mailing Address: | 13375 Broadway St Alden |
| State: | NY US |
| Postal Code: | 140041410 |
| Phone Number: | 7169377373 |
| Fax Number: | 7169374136 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 2738 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |