Provider Demographics
NPI:1013548890
Name:NORTH COUNTRY ASSOCIATION FOR THE VISUALLY IMPAIRED, INC.
Entity Type:Organization
Organization Name:NORTH COUNTRY ASSOCIATION FOR THE VISUALLY IMPAIRED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KRETSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-562-2330
Mailing Address - Street 1:22 US OVAL STE B-15
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12903-5903
Mailing Address - Country:US
Mailing Address - Phone:518-562-2330
Mailing Address - Fax:518-562-2331
Practice Address - Street 1:22 US OVAL STE B-15
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-5903
Practice Address - Country:US
Practice Address - Phone:518-562-2330
Practice Address - Fax:518-562-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, BlindGroup - Single Specialty