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NPI Code Detail

MEDICARE: UNIVERSITY EYE SPECIALISTS, PC

MEDICARE: UNIVERSITY EYE SPECIALISTS, PC
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
1207W00000XOphthalmology Physician116125NY

General Provider Information

NPI Number : 1245269885
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY EYE SPECIALISTS, PC
Provider Business Mailing Address
First Line : 2469 STATE ROUTE 19 N
Second Line :
City : WARSAW
State : NY
Zip : 14569-9336
Country : US
Telephone Number : 585-786-2288
Fax Number : 585-786-3699
Provider Business Practice Location Address
First Line : 2469 STATE ROUTE 19 N
Second Line :
City : WARSAW
State : NY
Zip : 14569-9336
Country : US
Telephone Number : 585-786-2288
Fax Number : 585-786-3699
Authorized Official
Title or Position : PRESIDENT OF CORPORATION
Name : DR. DANIEL B LEVIN
Credential : M.D.
Telephone Number : 585-786-2288
Provider Enumeration Date : 07/03/2006
Last Update Date : 01/13/2009

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Directions to “UNIVERSITY EYE SPECIALISTS, PC ” Practice Location

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