Organization
LEGARRETA EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANDREW LEGARRETA M.D. (OPHTHALMOGIST/OWNER OF PRACTICE)
(716) 668-3030
Entity
Organization
Contact information
Practice address
1301 N FOREST RD, WILLIAMSVILLE, NY 14221-3277
(716) 633-2203
(716) 633-7738
Mailing address
1301 N FOREST RD, WILLIAMSVILLE, NY 14221-3277
(716) 633-2203
(716) 633-7738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
124124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624162
—
NY
01
—
075292
LEGACY NUMBER
NY
Enumeration date
09/07/2007
Last updated
04/10/2008
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