Organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Other names
WNY Eye Care Sodus
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR, PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
6353 RIDGE RD, SODUS, NY 14551-9743
(315) 483-8300
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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