| |
3356 Genesee St, Cheektowaga, NY 14225-5031 | |
(716) 631-2020 | |
(716) 633-3351 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 3356 Genesee St, Cheektowaga, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861642027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV3940-1 (New York) | Secondary |
332H00000X | Eyewear Supplier | TUV3940-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
3356 Genesee St, Cheektowaga, NY 14225-5031 Ph: (716) 631-2020 | 3356 Genesee St, Cheektowaga, NY 14225-5031 Ph: (716) 631-2020 |