| |
1260 Lyell Ave, Rochester, NY 14606-2040 | |
(585) 254-0022 | |
(585) 254-0132 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1260 Lyell Ave, Rochester, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669439725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1240 Lyell Ave, Rochester, NY 14606-2026 Ph: (585) 254-0193 | 1260 Lyell Ave, Rochester, NY 14606-2040 Ph: (585) 254-0022 |