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NPI Code Detail

MEDICARE: FINGER LAKES OPHTHALMOLOGY, PC

MEDICARE: FINGER LAKES OPHTHALMOLOGY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295755627
Entity Type Code : Organization
Provider Name (Legal Business Name) : FINGER LAKES OPHTHALMOLOGY, PC
Provider Business Mailing Address
First Line : 325 WEST ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1723
Country : US
Telephone Number : 585-394-2020
Fax Number : 585-394-9261
Provider Business Practice Location Address
First Line : 325 WEST ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1723
Country : US
Telephone Number : 585-394-2020
Fax Number : 585-394-9261
Authorized Official
Title or Position : PRESIDENT
Name : DR. SUNGJUN HWANG
Credential : MD
Telephone Number : 585-394-2020
Provider Enumeration Date : 07/20/2006
Last Update Date : 06/27/2023

Similar Medicare Providers

1255334132 — SUNGJUN JOHN HWANG M.D.
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261
1447253315 — FINGER LAKES OPHTHALMOLOGY, PC
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261
1386647154 — DR. DAWN LOUISE PISELLO O.D.
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261
1558364430 — DR. HEIDI CLARE PIPER M.D.
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261
1902800592 — DR. THOMAS A. ANDOLINA O.D.
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261
1760471338 — MARIATERESA CERAVOLO O.D.
Practice Location Address:
325 WEST ST
CANANDAIGUA, NY
14424-1723
Practice Phone: 585-394-2020
Practice Fax: 585-394-9261

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