Individual
MR. CARL RICHARD ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTHALMIC DISPENSER
Contact information
Practice address
1777 ORCHARD PARK RD, WEST SENECA, NY 14224-4624
(716) 674-8446
(716) 674-2682
Mailing address
5470 ABEL RD, HAMBURG, NY 14075-3641
(716) 648-7575
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003507
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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