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WATERTOWN MEDICAL OPTICAL PLLC
NPI 1407319155
Eyewear Supplier in Gouverneur, NY

Active since April 10, 2019
77 W BARNEY ST STE F, GOUVERNEUR, NY 13642(315) 287-3638(315) 287-3656 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Watertown Medical Optical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERTOWN MEDICAL OPTICAL PLLC (NPI 1407319155) is a healthcare organization registered as an eyewear supplier in Gouverneur, New York and active in the NPI registry since April 2019. The organization lists Doris Prashaw, Manager, as its authorized official.

NPPES Registry Identity

NPI1407319155
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWATERTOWN MEDICAL OPTICAL PLLC
Location Address77 W BARNEY ST STE FGouverneur, NY 13642-1040
Mailing Address77 W Barney St Ste FGouverneur, NY 13642-1040 · (315) 287-3638 · Fax (315) 287-3656
Phone(315) 287-3638
Fax(315) 287-3656
Organization SubpartNo
Authorized OfficialDoris PrashawManager · (315) 393-7171
Enumeration DateApril 10, 2019
✔ NPI 1407319155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
77 W BARNEY ST STE F, Gouverneur, NY 13642
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Other Names 1

Other NameNoaman Sanni Md

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Watertown Medical Optical PLLC's NPI number?

The NPI number for Watertown Medical Optical PLLC is 1407319155. It was assigned to this organization in the NPPES registry on April 10, 2019. The provider is also known as Noaman Sanni MD.

Where is Watertown Medical Optical PLLC located?

Watertown Medical Optical PLLC is located at 77 W Barney St Ste F, Gouverneur, NY 13642. The listed phone number is (315) 287-3638.

What is Watertown Medical Optical PLLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Watertown Medical Optical PLLC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.