Healthcare Provider Details

I. General information

NPI: 1790725943
Provider Name (Legal Business Name): GEORGE S KORNFELD O.D., F.A.A.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 MONROE AVE
ROCHESTER NY
14618-2410
US

IV. Provider business mailing address

2180 MONROE AVE
ROCHESTER NY
14618-2410
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-7320
  • Fax: 585-271-4606
Mailing address:
  • Phone: 585-271-7320
  • Fax: 585-271-4606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberT3056-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberT3056-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: