MEDICARE: DR. BARRY T KISSACK O.D.

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
1	152W00000X	Optometrist	VUT004875	NY

General Provider Information

NPI Number	:	1629074554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY T KISSACK O.D.

Provider Business Mailing Address
First Line	:	7 N MAIN ST
Second Line	:	PO BOX 549
City	:	HONEOYE FALLS
State	:	NY
Zip	:	14472-1013
Country	:	US
Telephone Number	:	585-624-2585
Fax Number	:	585-624-3140

Provider Business Practice Location Address
First Line	:	7 N MAIN ST
Second Line	:
City	:	HONEOYE FALLS
State	:	NY
Zip	:	14472-1013
Country	:	US
Telephone Number	:	585-624-2585
Fax Number	:	585-624-3140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/12/2007

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1811164882 — MAIN STREET OPTICAL
Practice Location Address:

1 N MAIN ST , 549
HONEOYE FALLS, NY
14472-1013

Practice Phone: 585-624-2122
Practice Fax: 585-624-2122

1326331570 — FOUR CORNERS OPTOMETRY, PC
Practice Location Address:

7 N MAIN ST , #549
HONEOYE FALLS, NY
14472-1013

Practice Phone: 585-624-2585
Practice Fax: 585-624-3140

1801894084 — MR. DAVID ALAN MONSEES P.T.
Practice Location Address:

58 N MAIN ST
HONEOYE FALLS, NY
14472-1042

Practice Phone: 585-582-0034
Practice Fax: 585-582-0026

1528047131 — MR. WILLIAM MICHAEL MCGOUGH LCSW, CASAC
Practice Location Address:

3 EPISCOPAL AVE
HONEOYE FALLS, NY
14472-1001

Practice Phone: 585-624-1350
Practice Fax: 585-624-9181

1760458574 — MS. JEANNE M SCHUM LCSW
Practice Location Address:

3 EPISCOPAL AVE
HONEOYE FALLS, NY
14472

Practice Phone: 585-624-1350
Practice Fax: 585-624-9181

Directions to “ DR. BARRY T KISSACK O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.