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NPI Code Detail

MEDICARE: DR. DAVID BRIAN TORRALES O.D.

MEDICARE: DR. DAVID BRIAN TORRALES 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
1152WS0006XSports Vision Optometrist007712NY
2152WV0400XVision Therapy Optometrist007712NY
3152W00000XOptometrist007712NY
4152WC0802XCorneal and Contact Management Optometrist007712NY
5152WP0200XPediatric Optometrist007712NY

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 : 1659669661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRIAN TORRALES O.D.
Provider Business Mailing Address
First Line : 8494 VAN WIE DR W
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-8935
Country : US
Telephone Number : 318-885-0764
Fax Number :
Provider Business Practice Location Address
First Line : 6438 BASILE ROWE
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-3900
Country : US
Telephone Number : 315-434-9168
Fax Number : 315-434-9182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 12/09/2025

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