| |
1 Lakeview Park, Rochester, NY 14613-1708 | |
(585) 458-2020 | |
(585) 458-3477 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1 Lakeview Park, Rochester, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386827038 | NPI | - | NPPES |
01038619 | Medicaid | NY | |
102473CR | Other | NY | PREFERRED CARE |
P010160134 | Other | NY | BLUE CHOICE |
P010006558 | Other | NY | BLUE CHOICE |
110109CS | Other | NY | PREFERRED CARE |
P030006558 | Other | NY | BLUE SHIELD |
7477432 | Other | NY | AETNA |
5930359 | Other | NY | AETNA |
8897 | Other | NY | BLUE SHIELD |
300238 | Other | NY | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T0006558 (New York) | Secondary |
207W00000X | Ophthalmology | 160134 (New York) | Primary |
332H00000X | Eyewear Supplier | 160134 (New York) | Secondary |
Mailing Address | Practice Location Address |
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1 Lakeview Park, Rochester, NY 14613-1708 Ph: (585) 458-2020 | 1 Lakeview Park, Rochester, NY 14613-1708 Ph: (585) 458-2020 |