Healthcare Provider Details
I. General information
NPI: 1306963616
Provider Name (Legal Business Name): SENECA EYE SURGEONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13 E MAIN ST
WESTFIELD NY
14787-1319
US
IV. Provider business mailing address
27 PORTER AVE
JAMESTOWN NY
14701-6221
US
V. Phone/Fax
- Phone: 716-483-2020
- Fax: 716-326-3267
- Phone: 716-483-2020
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TIMOTHY
J
OBRIEN
Title or Position: PARTNER
Credential: MD
Phone: 716-483-2020