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NPI Code Detail

MEDICARE: DR. GREGORY J FLAITZ OD

MEDICARE:  DR. GREGORY J FLAITZ  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
1152W00000XOptometrist558SD
2152W00000XOptometrist235AK
3152W00000XOptometristRT006640NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3430083OTHERSDMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110566229OTHERNYIHA
24107243OTHERNYAMERIGROUP
4000538823002OTHERNYBCBS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548210131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY J FLAITZ OD
Provider Business Mailing Address
First Line : 7899 STATE ROUTE 21
Second Line :
City : HORNELL
State : NY
Zip : 14843-9669
Country : US
Telephone Number : 605-200-2325
Fax Number :
Provider Business Practice Location Address
First Line : 987 R C HOAG DR
Second Line :
City : SALAMANCA
State : NY
Zip : 14779-1365
Country : US
Telephone Number : 716-945-5894
Fax Number : 716-242-6345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 04/21/2025

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Directions to “ DR. GREGORY J FLAITZ OD” Practice Location

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