Lynn R Henry Optometrist PC
Optometrist in Ilion, NY. Organization (NPI-2).
NPI number1275717852
StatusActive
Last updated in NPPESMay 14, 2008
Details
- NPI
- 1275717852
- Entity type
- Organization (NPI-2)
- Legal business name
- Lynn R Henry Optometrist PC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2007
- Last updated
- May 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV003458-1 | NY | Yes |
Practice location
23 Central PlzIlion, NY 13357-1701
Phone 315-894-3325
Mailing address
23 Central PlzIlion, NY 13357-1701
Phone 315-894-3325
Authorized official
Lynn R Henry
President
3158943325
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