NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

ENCHANTED MOUNTAIN OPTOMETRY,PLLC – #1013294685
dba ENCHANTED MOUNTAIN EYECARE
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

ENCHANTED MOUNTAIN OPTOMETRY,PLLC
dba ENCHANTED MOUNTAIN EYECARE
912 W STATE ST
OLEAN, NY14760-2242
 Phone: 716-373-0766
 Fax:
 Website:
 

Specialty

Taxonomy

Eyewear Supplier

332H00000X
Indicates primary specialty
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NPI Information

NPI Number 1013294685
Entity Organization
Organization subpart N
Enumeration date 11/10/2011
Last updated 11/10/2011
Identifiers
NY License # T005716
NY Medicaid 01608566
NY Medicare UPIN LU11809B

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