Healthcare Provider Details
I. General information
NPI: 1073785762
Provider Name (Legal Business Name): TIME WORTH SEEING, LICENSED OPTOMETRIST, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2008
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
350 EASTVIEW MALL
VICTOR NY
14564-1005
US
IV. Provider business mailing address
3 FINCH WOOD LN
PENFIELD NY
14526-1160
US
V. Phone/Fax
- Phone: 585-425-4770
- Fax:
- Phone: 585-261-0250
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | TUV006773-1 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
D.
WYLOT
Title or Position: PRESIDENT
Credential: O.D.
Phone: 585-425-4770