Provider First Line Business Practice Location Address:
110 CONSUMER SQUARE
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTERS
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-562-0200
Provider Business Practice Location Address Fax Number:
518-562-3647
Provider Enumeration Date:
03/31/2006