MEDICARE: EDWARD FARON HALL MD

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	207W00000X	Ophthalmology Physician	249159	NY
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	249159	NY

General Provider Information

NPI Number	:	1922029503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD FARON HALL MD

Provider Business Mailing Address
First Line	:	160 SAWGRASS DR STE 200
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4655
Country	:	US
Telephone Number	:	585-442-3411
Fax Number	:	585-442-9550

Provider Business Practice Location Address
First Line	:	160 SAWGRASS DR STE 200
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4655
Country	:	US
Telephone Number	:	585-442-3411
Fax Number	:	585-442-9550

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	04/09/2026

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