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General NPI Number Information
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NPI Number | 1760677116
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Entity Type | Organization
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Legal Business Name | VISION CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 187 GENESEE ST
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City | AUBURN
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State | NY
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Zip | 13021-3310
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Country | US
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Telephone | 315-252-5711
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Fax | 315-252-8171
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Provider Business Mailing Address
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Address Line | 187 GENESEE ST
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City | AUBURN
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State | NY
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Zip | 13021-3310
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Country | US
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Telephone | 315-252-5711
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Fax | 315-252-8171
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES B COGAR
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Credential | O.D.
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Telephone | 315-252-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV003728-1
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License Number State | NY
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