Provider Demographics
NPI:1841502218
Name:PARRY OPTICAL SERVICES LLC
Entity type:Organization
Organization Name:PARRY OPTICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER - MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARADOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:588-442-1720
Mailing Address - Street 1:2180 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2410
Mailing Address - Country:US
Mailing Address - Phone:585-442-1720
Mailing Address - Fax:585-426-4515
Practice Address - Street 1:2180 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2410
Practice Address - Country:US
Practice Address - Phone:585-442-1720
Practice Address - Fax:585-426-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003687156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty