Healthcare Provider Details

I. General information

NPI: 1184068322
Provider Name (Legal Business Name): RAYMOND OPTICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 ROUTE 82 UNITY PLAZA UNIT #7
HOPEWELL JUNCTION NY
12533-7351
US

IV. Provider business mailing address

827 ROUTE 82 UNITY PLAZA UNIT #7
HOPEWELL JUNCTION NY
12533-7351
US

V. Phone/Fax

Practice location:
  • Phone: 845-223-2010
  • Fax: 845-227-8003
Mailing address:
  • Phone: 845-223-2010
  • Fax: 845-227-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND J KOLKMANN
Title or Position: OWNER
Credential:
Phone: 914-245-5151