Individual
DR. ROBERT ANDREW VITITOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2441 VESTAL PARKWAY EAST, SAM'S CLUB, VESTAL, NY 13850-2018
(607) 770-6297
(607) 766-8592
Mailing address
43 DAVIS STREET, BINGHAMTON, NY 13905-4239
(607) 722-3747
(607) 722-3747
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV006050
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT006050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000127034
BLUE CROSS BLUE SHIELD
NY
01
—
40910
SPECTERA
NY
01
—
93653
DAVIS VISION
NY
Enumeration date
10/12/2006
Last updated
03/17/2009
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