Individual
OWEN DAVID HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3151 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1212
(716) 674-6030
Mailing address
3151 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1212
(716) 674-6030
(716) 674-6052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009493
NY
Other
Enumeration date
11/30/2021
Last updated
02/04/2022
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