Organization · Type 2 NPI
The Optical Room Inc
Customized Equipment (DME) · Brockport, NY
NPI number
1295810182
Active
Practice location
20 West Ave
Brockport, NY 14420-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 003478 (NY) |
Customized Equipment (DME): Definition to come...
About NPI 1295810182
The Optical Room Inc's National Provider Identifier is 1295810182, issued on Oct 26, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Brockport, NY. The record was last updated on Mar 11, 2008.