Martha Canon, LDO
Martha Canon, LDO is an Optician in New York, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
1440 Broadway # 10826New York, NY 10018-2301
Phone: (212) 221-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 009898 (NY) |
|---|
Record details
| NPI number | 1023644291 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | March 19, 2020 |
| Certification date | March 19, 2020 |
| Mailing address | 11605 N Lamar Blvd, Austin, TX 78753-2658 |
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