Healthcare Provider Details

I. General information

NPI: 1609890987
Provider Name (Legal Business Name): FICHTE, ENDL & ELMER EYECARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 05/07/2010
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

Practice location:
  • Phone: 716-282-1114
  • Fax: 716-282-0523
Mailing address:
  • Phone: 716-282-1114
  • Fax: 716-282-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. CLAUS M. FICHTE
Title or Position: OWNER
Credential: MD
Phone: 716-282-1114