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NPI 1497771646

NPI 1497771646 : NEURO-OPHTHALMOLOGY CONSULTANTS OF ROCHESTER : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1497771646
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEURO-OPHTHALMOLOGY CONSULTANTS OF ROCHESTER 
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Dates
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    Enumeration Date     |    07/14/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    200 CANAL VIEW BLVD SUITE 102
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14623-2852
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    Country              |    US
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    Telephone            |    585-461-5330
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    Fax                  |    585-461-9895
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Provider Business Mailing Address
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    Address Line         |    200 CANAL VIEW BLVD SUITE 102
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14623-2852
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    Country              |    US
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    Telephone            |    585-461-5330
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    Fax                  |    585-461-9895
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID N. SMITH 
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    Credential           |    M.D.
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    Telephone            |    585-461-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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