| Organization Name: | SILVER CREEK OPTICAL INC. |
| NPI Number: | 1821121898 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN M FORD (PRESIDENT) |
| Mailing Address: | 41 Main St Silver Creek |
| State: | NY US |
| Postal Code: | 141361416 |
| Phone Number: | 7169343030 |
| Fax Number: | 7169344960 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | C003655-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |