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General NPI Number Information
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NPI Number | 1861642027
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Entity Type | Organization
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Legal Business Name | DR. THOMAS M. KAMINKSA, OD
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 3356 GENESEE ST
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-5031
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Country | US
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Telephone | 716-631-2020
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Fax | 716-633-3351
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Provider Business Mailing Address
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Address Line | 3356 GENESEE ST
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-5031
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Country | US
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Telephone | 716-631-2020
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Fax | 716-633-3351
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NANCY A. SCHRADER
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Credential |
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Telephone | 716-631-2020
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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 | TUV3940-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | TUV3940-1
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License Number State | NY
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