Healthcare Provider Details

I. General information

NPI: 1982659801
Provider Name (Legal Business Name): CALHOUN EYE CARE AND OPTOMETRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5488 SHERIDAN DR STE 300
WILLIAMSVILLE NY
14221-3888
US

IV. Provider business mailing address

6622 MAIN ST SUITE 7
WILLIAMSVILLE NY
14221-5968
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-9970
  • Fax: 716-631-8809
Mailing address:
  • Phone: 716-631-9970
  • Fax: 716-631-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number006035
License Number StateNY

VIII. Authorized Official

Name: DR. JEFFREY JOHN CALHOUN
Title or Position: PRESIDENT
Credential: O.D.
Phone: 716-631-9970