MEDICARE: EYE CARE PROFESSIONALS OF WESTERN NEW YORK LLP

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

General Provider Information

NPI Number	:	1457578957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE PROFESSIONALS OF WESTERN NEW YORK LLP

Provider Business Mailing Address
First Line	:	3364 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1439
Country	:	US
Telephone Number	:	716-833-2020
Fax Number	:	716-833-3854

Provider Business Practice Location Address
First Line	:	3364 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1439
Country	:	US
Telephone Number	:	716-833-2020
Fax Number	:	716-833-3854

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	CATHERINE R HEINRICH
Credential	:
Telephone Number	:	716-833-2020

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	06/28/2024

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