Healthcare Provider Details

I. General information

NPI: 1104038611
Provider Name (Legal Business Name): DR DANIEL SCHEG OPTOMETRIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 EAST AVENUE
HILTON NY
14468
US

IV. Provider business mailing address

50 EAST AVENUE
HILTON NY
14468
US

V. Phone/Fax

Practice location:
  • Phone: 585-392-6610
  • Fax: 585-392-8196
Mailing address:
  • Phone: 585-392-6610
  • Fax: 585-392-8196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License NumberTUV0034841
License Number StateNY

VIII. Authorized Official

Name: DR. DANIEL E SCHEG
Title or Position: OWNER
Credential: OD
Phone: 585-392-6610