Organization · Type 2 NPI

South Park Optical, Inc.

Eyewear Supplier · Blasdell, NY

NPI number 1700974946 Active

Practice location

3861 S Park Ave
Blasdell, NY 14219-1813

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XC-5093-1 (NY)
Eyewear Supplier Primary 332H00000X5093 (NY)

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

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About NPI 1700974946

South Park Optical, Inc.'s National Provider Identifier is 1700974946, issued on Oct 11, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Blasdell, NY. The record was last updated on Dec 5, 2014.