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General NPI Number Information
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NPI Number | 1548210131
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Entity Type | Individual
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Provider Name | GREGORY J FLAITZ OD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 987 R C HOAG DR
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City | SALAMANCA
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State | NY
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Zip | 14779-1365
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Country | US
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Telephone | 716-945-5894
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Fax | 716-242-6345
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Provider Business Mailing Address
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Address Line | 7899 STATE ROUTE 21
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City | HORNELL
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State | NY
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Zip | 14843-9669
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Country | US
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Telephone | 605-200-2325
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 558
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 235
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | RT006640
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License Number State | NY
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