Healthcare Provider Details

I. General information

NPI: 1699938191
Provider Name (Legal Business Name): RACHEL MORIER MCCANN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 ALTAMONT AVE
SCHENECTADY NY
12303-2980
US

IV. Provider business mailing address

1426 ALTAMONT AVENUE
SCHENECTADY NY
12303
US

V. Phone/Fax

Practice location:
  • Phone: 518-355-0795
  • Fax: 518-355-1208
Mailing address:
  • Phone: 518-355-0795
  • Fax: 518-355-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007335
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: