Individual
DR. LINDA SUE SHENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2825 NIAGARA FALLS BLVD, STE 130, AMHERST, NY 14228-2021
(716) 564-2020
(716) 564-2060
Mailing address
1050 WAYNE AVE, NORTH TONAWANDA, NY 14120-3442
(716) 465-7139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005071-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390043002
COMMUNITY BLUE
NY
01
—
000390043004
COMMUNITY BLUE
NY
05
—
02505984
—
NY
01
—
161578122
NORTH AMERICAN PREFERRED
NY
01
—
251744484
EMPIRE - UNITED HEALTHCAR
NY
01
—
410042274
MEDICARE RAILROAD
NY
Enumeration date
06/16/2005
Last updated
05/21/2019
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