Organization
DR. CASSATA EYE CARE OPTOMETRIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE M. CASSATA O.D. (OPTOMETRIST)
(716) 909-9763
Entity
Organization
Contact information
Practice address
1780 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072
(716) 909-9763
Mailing address
P.O. BOX 847, GRAND ISLAND, NY 14072
(716) 909-9763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02774716
—
NY
01
—
NY6812
EYE MED PROVIDER NO.
NY
Enumeration date
02/15/2019
Last updated
02/15/2019
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