Healthcare Provider Details
I. General information
NPI: 1174570287
Provider Name (Legal Business Name): FICHTE, ENDL & ELMER EYECARE OPHTHALMOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 PINE AVE
NIAGARA FALLS NY
14301-2402
US
IV. Provider business mailing address
2400 PINE AVE
NIAGARA FALLS NY
14301-2402
US
V. Phone/Fax
- Phone: 716-282-1114
- Fax: 716-282-0523
- Phone: 716-282-1114
- Fax: 716-282-0523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAUS
M.
FICHTE
Title or Position: OWNER
Credential: MD
Phone: 716-564-2020