MEDICARE: DR. KATELYN EMMA VILASI 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
1	152W00000X	Optometrist	TUV008577-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TUV008577-1	OTHER	NY	NYS LICENCE

General Provider Information

NPI Number	:	1821518911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATELYN EMMA VILASI OD

Provider Business Mailing Address
First Line	:	PO BOX 92552
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14692-0552
Country	:	US
Telephone Number	:	585-427-7960
Fax Number	:	877-231-0913

Provider Business Practice Location Address
First Line	:	660 JEFFERSON RD STE 550
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3267
Country	:	US
Telephone Number	:	585-427-7960
Fax Number	:	877-231-0913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	03/04/2026

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