# RETINA CONSULTANTS OF WESTERN NEW YORK, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RETINA CONSULTANTS OF Western New York, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114112125
- **Authorized official:** TINA F MACDONALD (PRACTICE MANAGER)
- **Authorized official phone:** (716) 992-7458

## Contact information

- **Practice address:** 6637 MAIN STREET, WILLIAMSVILLE, NY 14221-5974
- **Practice address phone:** (716) 632-1595
- **Practice address fax:** (716) 204-4895
- **Mailing address:** 6637 MAIN STREET, WILLIAMSVILLE, NY 14221-5974
- **Mailing address phone:** (716) 632-1595
- **Mailing address fax:** (716) 204-4895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 119187 | NY | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/04/2019