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General NPI Number Information
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NPI Number | 1710100581
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Entity Type | Organization
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Legal Business Name | EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 3712 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1720
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Country | US
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Telephone | 716-648-5329
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Fax | 716-648-3815
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Provider Business Mailing Address
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Address Line | 3712 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1720
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Country | US
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Telephone | 716-648-5329
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Fax | 716-648-3815
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY PAT ROZESKI
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Credential |
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Telephone | 716-648-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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