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Search › New York › Optician

Mackenzie Bourdon

NPI 1013735752 · on the registry since 2024 · sole proprietor

Practice

Address
8770 Dell Center Dr
Liverpool, NY 13090
Phone
(315) 622-9260
Fax
(315) 652-5320
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Optician
156FX1800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York