# PAUL BULGER VISION REHABILITATION CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bulger Vision Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730236159
- **Authorized official:** MS. HEATHER TELFORD RN (ADMINISTRATOR)
- **Authorized official phone:** (716) 882-1025

## Contact information

- **Practice address:** 1170 MAIN ST, BUFFALO, NY 14209-2331
- **Practice address phone:** (716) 882-1025
- **Practice address fax:** (716) 882-5577
- **Mailing address:** 1170 MAIN ST, BUFFALO, NY 14209-2331
- **Mailing address phone:** (716) 882-1025
- **Mailing address fax:** (716) 882-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020