Organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Other names
WNY Eye Care - Brighton
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR- PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5646
(585) 244-0332
Mailing address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5646
(585) 244-0332
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/01/2021
Last updated
12/12/2024
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