Creighton Optical
Eyewear Supplier (Equipment, not the service) in Alden, NY. Organization (NPI-2).
NPI number1003196155
StatusActive
Last updated in NPPESAug 22, 2011
Details
- NPI
- 1003196155
- Entity type
- Organization (NPI-2)
- Legal business name
- Creighton Optical
- Organization subpart
- No
- Enumeration date
- Aug 22, 2011
- Last updated
- Aug 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 006357 | NY | Yes |
Other names
- Dba Kevin Creighton (Doing Business As)
Practice location
13375 Broadway StAlden, NY 14004-1410
Phone 716-937-7373 · Fax 716-937-4136
Mailing address
13375 Broadway StAlden, NY 14004-1410
Phone 716-937-7373 · Fax 716-937-4136
Authorized official
Kevin F Creighton
Owner
7169377373
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