National Provider Identifier

Stephen Joseph Bohac, OPTHALMIC DISPENSER

Stephen Joseph Bohac, OPTHALMIC DISPENSER is listed in the NPPES registry with a primary specialty of Optician in Horseheads, NY and a listed phone number of (607) 739-5644.

NPI 1629284880Horseheads, NYOptician

Profile Overview

NPI
1629284880
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
May 15, 2007
Last Updated
July 08, 2007

Practice Location

  • 3300 Chambers RD
  • Horseheads, NY 14845-1404

Phone: (607) 739-5644

Mailing Address

  • 1037 Walker Hill RD
  • Waverly, NY 14892-9601

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1629284880
Entity Type
Individual
Last Name
Bohac
First Name
Stephen
Middle Name
Joseph
Name Prefix
Mr.
Credential
OPTHALMIC DISPENSER
Mailing Street Address
1037 Walker Hill RD
Mailing City
Waverly
Mailing State
NY
Mailing ZIP Code
14892-9601
Mailing Country
US
Mailing Phone
(607) 565-3065
Practice Street Address
3300 Chambers RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-1404
Practice Country
US
Practice Phone
(607) 739-5644
Practice Fax
(607) 796-0080
Enumeration Date
May 15, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)