Provider Demographics
NPI:1699938191
Name:MCCANN, RACHEL MORIER (OD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MORIER
Last Name:MCCANN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1426 ALTAMONT AVENUE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303
Mailing Address - Country:US
Mailing Address - Phone:518-355-0795
Mailing Address - Fax:518-355-1208
Practice Address - Street 1:1426 ALTAMONT AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-2980
Practice Address - Country:US
Practice Address - Phone:518-355-0795
Practice Address - Fax:518-355-1208
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007335152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist