Provider Demographics
NPI:1639352354
Name:FRANCOMANO DAVISON & CHECCA INC.
Entity Type:Organization
Organization Name:FRANCOMANO DAVISON & CHECCA INC.
Other - Org Name:EYE CARE OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHECCA
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:518-587-8111
Mailing Address - Street 1:254 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1037
Mailing Address - Country:US
Mailing Address - Phone:518-587-8111
Mailing Address - Fax:518-587-8135
Practice Address - Street 1:254 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1037
Practice Address - Country:US
Practice Address - Phone:518-587-8111
Practice Address - Fax:518-587-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003722332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01660379Medicaid
NY01660379Medicaid