Council Optometric Center | |
168 N Union St, Olean, NY 14760-2735 | |
(716) 372-9464 | |
Not Available |
Full Name | Council Optometric Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 168 N Union St, Olean, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760736946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jason D Sibble |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841235975 PECOS PAC ID: 3971406117 Enrollment ID: I20040127000940 |
Provider Name | Kurt T Benham |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306952981 PECOS PAC ID: 5698709327 Enrollment ID: I20050923000190 |
Provider Name | Tracy L Fish |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588625867 PECOS PAC ID: 6204834773 Enrollment ID: I20061116000238 |
Provider Name | Michael D Mortimer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801881578 PECOS PAC ID: 6901986611 Enrollment ID: I20080108000404 |
Provider Name | Robert J Vonvolen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649291626 PECOS PAC ID: 0345346417 Enrollment ID: I20080110000420 |
Provider Name | Timothy S Mcdaniel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740260009 PECOS PAC ID: 2668512898 Enrollment ID: I20091221000242 |
Provider Name | Doris M Schwartz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265449615 PECOS PAC ID: 4385768845 Enrollment ID: I20100907000022 |
Provider Name | Joseph R Woodley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366586497 PECOS PAC ID: 1456265909 Enrollment ID: I20141104001429 |
Provider Name | Loretta M Flaitz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588615132 PECOS PAC ID: 1658391479 Enrollment ID: I20160323002416 |
Provider Name | Samantha Czerniak |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700484003 PECOS PAC ID: 3274945936 Enrollment ID: I20201222001324 |
Provider Name | Ethan J Boryszak |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124060751 PECOS PAC ID: 9830480201 Enrollment ID: I20221201001969 |
Provider Name | Hayden R Senn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649963729 PECOS PAC ID: 7517312507 Enrollment ID: I20231011001843 |
Mailing Address | Practice Location Address |
---|---|
Council Optometric Center 12 Martin St, Wellsville, NY 14895-1057 Ph: (585) 593-6041 | Council Optometric Center 168 N Union St, Olean, NY 14760-2735 Ph: (716) 372-9464 |
Tracy Lynn Ludden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 912 W State St, Olean, NY 14760 Phone: 716-373-0766 Fax: 716-373-1275 | |
Council Optometric Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 168 N Union St, Olean, NY 14760 Phone: 716-372-9464 | |
Hayden Robert Senn, OD Optometrist Medicare: Medicare Enrolled Practice Location: 130 S Union St, Olean, NY 14760 Phone: 716-372-8642 Fax: 716-372-8646 | |
Dr. Michael Dale Mortimer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 S Union St, Ste. 8, Olean, NY 14760 Phone: 716-372-8644 Fax: 716-373-4257 | |
Keith L Howard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 168 N Union St, Olean, NY 14760 Phone: 716-372-9464 | |
Donald P Grzankowski, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 168 N Union St, Olean, NY 14760 Phone: 716-372-9464 |