# CHRISTINE C. PLATT M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview Eyecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386827038
- **Authorized official:** MRS. SHANON A BALLARD (BILLING MGR)
- **Authorized official phone:** (585) 458-2020

## Contact information

- **Practice address:** 1 LAKEVIEW PARK, ROCHESTER, NY 14613-1708
- **Practice address phone:** (585) 458-2020
- **Practice address fax:** (585) 458-3477
- **Mailing address:** 1 LAKEVIEW PARK, ROCHESTER, NY 14613-1708
- **Mailing address phone:** (585) 458-2020
- **Mailing address fax:** (585) 458-3477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | T0006558 | NY | — |
| 207W00000X | Ophthalmology Physician | 160134 | NY | Yes |
| 332H00000X | Eyewear Supplier | 160134 | NY | — |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 05/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01038619 | — | NY |
| 01 | — | 102473CR | PREFERRED CARE | NY |
| 01 | — | 110109CS | PREFERRED CARE | NY |
| 01 | — | 300238 | WELLCARE | NY |
| 01 | — | 5930359 | AETNA | NY |
| 01 | — | 7477432 | AETNA | NY |
| 01 | — | 8897 | BLUE SHIELD | NY |
| 01 | — | P010006558 | BLUE CHOICE | NY |
| 01 | — | P010160134 | BLUE CHOICE | NY |
| 01 | — | P030006558 | BLUE SHIELD | NY |