Enchanted Mountain Optometry,PLLC
Eyewear Supplier · Olean, NY
Practice location
912 W State StOlean, NY 14760-2242
- Phone
- (716) 373-0766
NPI record
- NPI
- 1013294685
- Entity type
- Organization (Type 2)
- Enumeration date
- November 10, 2011
- Last updated
- November 10, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Eyewear Supplier Primary | 332H00000X |
T005716 | NY |
Authorized official
- Name
- Dr. Tracy L Ludden, OD
- Title
- Optometrist
- Phone
- (716) 373-0766
Other names
- Enchanted Mountain Eyecare
About Enchanted Mountain Optometry,PLLC
Enchanted Mountain Optometry,PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 912 W State St, Olean, NY 14760-2242. The NPI number 1013294685 was assigned on November 10, 2011 and the record was last updated on November 10, 2011.
Enchanted Mountain Optometry,PLLC lists a license in the registry: #T005716 (NY) for Eyewear Supplier. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Tracy L Ludden, OD, Optometrist.
Frequently asked questions
What is the NPI number of Enchanted Mountain Optometry,PLLC?
The NPI number is 1013294685.
What is the phone number of Enchanted Mountain Optometry,PLLC?
The phone number listed for the practice location is (716) 373-0766.
Where is Enchanted Mountain Optometry,PLLC located?
912 W State St, Olean, NY 14760-2242.
What is the taxonomy code for Enchanted Mountain Optometry,PLLC?
The primary taxonomy code is 332H00000X – Eyewear Supplier.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Eyewear Supplier providers in Olean
- Wal-Mart Stores East, LP1869 Plaza Dr