MEDICARE: CAROL A BALFE, OD, 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
1	152W00000X	Optometrist	005534	NY

General Provider Information

NPI Number	:	1366640567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL A BALFE, OD, PC

Provider Business Mailing Address
First Line	:	70 ERIE BLVD
Second Line	:
City	:	CANAJOHARIE
State	:	NY
Zip	:	13317-1133
Country	:	US
Telephone Number	:	518-673-2015
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 ERIE BLVD
Second Line	:
City	:	CANAJOHARIE
State	:	NY
Zip	:	13317-1133
Country	:	US
Telephone Number	:	518-673-2015
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAROL A BALFE
Credential	:	O.D.
Telephone Number	:	518-673-2015

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	06/18/2008

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