MEDICARE: EASTVIEW VISION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8786	OTHER	NY	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1114900651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTVIEW VISION INC

Provider Business Mailing Address
First Line	:	PO BOX 162
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-0162
Country	:	US
Telephone Number	:	585-394-1128
Fax Number	:	585-394-6877

Provider Business Practice Location Address
First Line	:	6081 ROUTE 96 S
Second Line	:	STE 8
City	:	FARMINGTON
State	:	NY
Zip	:	14425
Country	:	US
Telephone Number	:	585-924-2550
Fax Number	:	585-924-4399

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. TERRY L JOHNSON
Credential	:
Telephone Number	:	585-394-1128

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1811970445 — MR. EDWARD H DAVIS OD
Practice Location Address:

6081 RTE 96 S
FARMINGTON, NY
14425

Practice Phone: 585-924-2550
Practice Fax: 585-924-4399

1285609131 — MICHAEL SUSCO M.D.
Practice Location Address:

1386 HATHAWAY DR , SUITE A
FARMINGTON, NY
14425-8973

Practice Phone: 585-396-4190
Practice Fax:

1841213881 — JOHN C HARTMAN OT
Practice Location Address:

1235 STATE ROUTE 332
FARMINGTON, NY
14425-1077

Practice Phone: 585-924-3642
Practice Fax: 585-742-2559

1346256591 — DR. DAVID CORON PHD
Practice Location Address:

6137 COUNTY ROAD 41
FARMINGTON, NY
14425-8931

Practice Phone: 585-924-3120
Practice Fax: 585-924-3120

1982611661 — DR. WALTER JAMES DECK DMD
Practice Location Address:

1625 STATE ROUTE 332 , SUITE 1-A
FARMINGTON, NY
14425-9601

Practice Phone: 585-398-3810
Practice Fax: 585-398-2413

1134138159 — DR. MARK VINCENT DIMARTINO DDS
Practice Location Address:

1375 HATHAWAY DR
FARMINGTON, NY
14425-8804

Practice Phone: 585-924-2160
Practice Fax: 585-924-1875

Directions to “EASTVIEW VISION INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.