Organization
VISIONARY OPHTHALMOLOGY AND CATARACT CARE, PLLC
Active
Other names
NISWANDER EYE CENTER, Philip Niswander MD
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP NISWANDER MD (MD/PARTNER)
(716) 634-4441
Entity
Organization
Contact information
Practice address
40 N UNION RD, NISWANDER EYE CENTER, WILLIAMSVILLE, NY 14221-5339
(716) 634-4441
(716) 634-3174
Mailing address
40 N UNION RD, WILLIAMSVILLE, NY 14221-5339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
VUT005781-1
NY
207W00000X
Ophthalmology Physician
Primary
142714
NY
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01632920
—
NY
01
—
390088001
BLUE CROSS GROUP NUMBER
NY
Enumeration date
04/17/2006
Last updated
07/22/2021
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