Individual
DR. PETER E TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
125 LAWRENCE RD E, EMPIRE VISION CENTERS, NORTH SYRACUSE, NY 13212
(315) 455-5500
(315) 455-8619
Mailing address
2921 ERIE BLVD E, SYRACUSE, NY 13224
(315) 445-7465
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT0054891
NY
Other
Enumeration date
04/01/2006
Last updated
11/07/2007
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