| Ladota Optometry, Pc | |
|
363 Delaware St Tonawanda NY 14150-3951 | |
| (716) 695-2025 | |
| Not Available |
| Full Name | Ladota Optometry, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 363 Delaware St, Tonawanda, New York |
| Authorized Official Name and Position | Laurie E Keyes (ASSISTANT) |
| Authorized Official Contact | 7163810698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladota Optometry, Pc 363 Delaware St Tonawanda NY 14150-3951 Ph: (716) 695-2025 | Ladota Optometry, Pc 363 Delaware St Tonawanda NY 14150-3951 Ph: (716) 695-2025 |
| NPI Number | 1396122032 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396122032 | NPI | - | NPPES |
| 02884724 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TUV006986 (New York) | Primary |
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