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NPI Code Detail

MEDICARE: DR. EDWARD G SACHS OD

MEDICARE: DR. EDWARD G SACHS OD
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
1152W00000XOptometristT0033951NY

General Provider Information

NPI Number : 1508827221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD G SACHS OD
Provider Business Mailing Address
First Line : 3349 MONROE AVE
Second Line : PEARLE VISION
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number : 585-381-1616
Fax Number : 585-381-0718
Provider Business Practice Location Address
First Line : 3349 MONROE AVE
Second Line : PEARLE VISION
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number : 585-381-1616
Fax Number : 585-381-0718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/24/2010

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