Organization · Type 2 NPI

Brian Maillard, Od

Eyewear Supplier · Cobleskill, NY

NPI number 1912281007 Active

Practice location

108 Legion Dr
Cobleskill, NY 12043-5112

Fax (518) 234-0140

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XTUV006803 (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 1912281007

Brian Maillard, Od's National Provider Identifier is 1912281007, issued on Oct 6, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cobleskill, NY. The record was last updated on Oct 6, 2011.