Organization
EYESIGHT OPHTHALMOLOGY P.C.
Active
Other names
EyeSight Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A STATHOPOULOS M.D. (PRESIDENT)
(716) 517-0680
Entity
Organization
Contact information
Practice address
4041 DELAWARE AVE, SUITE 100, TONAWANDA, NY 14150-6850
(716) 837-5200
(716) 837-8750
Mailing address
4041 DELAWARE AVE, SUITE 100, TONAWANDA, NY 14150-6850
(716) 837-5200
(716) 837-8750
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205998
NY
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603329
—
NY
Enumeration date
09/14/2006
Last updated
04/05/2017
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