Individual
MR. MICHAEL J DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4384 LAKEVILLE RD, GENESEO, NY 14454-9761
(585) 243-2020
(585) 243-1372
Mailing address
4384 LAKEVILLE RD, GENESEO, NY 14454-9761
(585) 243-2020
(585) 243-1372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01529148
—
NY
01
—
10005268
BCBS, BLUE CHOICE HMO
NY
01
—
110414
EYEMED VISION
NY
01
—
161457017
UNITED HEALTH CARE
NY
01
—
17009359
BLUE CHOICE HMO EYEWEAR
NY
01
—
410025041
MEDICARE RAIL ROAD
NY
01
—
49847
DAVIS VISION
NY
01
—
5076330
AETNA
NY
01
—
MD462W
PREFERRED CARE
NY
Enumeration date
02/02/2006
Last updated
06/25/2008
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