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NPI Code Detail

MEDICARE: EYE PHYSICIANS AND SURGEONS

MEDICARE: EYE PHYSICIANS AND SURGEONS
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
1261QS0132XOphthalmologic Surgery Clinic/Center

General Provider Information

NPI Number : 1457421778
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE PHYSICIANS AND SURGEONS
Provider Business Mailing Address
First Line : 1580 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3620
Country : US
Telephone Number : 585-872-1300
Fax Number :
Provider Business Practice Location Address
First Line : 1580 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3620
Country : US
Telephone Number : 585-872-1300
Fax Number :
Authorized Official
Title or Position : CEO
Name : SHARIF EASSA
Credential :
Telephone Number : 585-872-1300
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/22/2020

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Directions to “EYE PHYSICIANS AND SURGEONS ” Practice Location

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