Healthcare Provider Details

I. General information

NPI: 1689586562
Provider Name (Legal Business Name): ARIELLE FOTI ABOC, LDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CLINTON AVE S
ROCHESTER NY
14620-1105
US

IV. Provider business mailing address

239 CRAVENWOOD AVE
ROCHESTER NY
14616-3541
US

V. Phone/Fax

Practice location:
  • Phone: 585-602-1520
  • Fax:
Mailing address:
  • Phone: 585-746-0578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number010384
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: