Organization
JOHN M. BRZEZICKI, JR., O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MYRON BRZEZICKI JR. O.D. (OPTOMETRIST)
(716) 662-4525
Entity
Organization
Contact information
Practice address
6421 W QUAKER ST, ORCHARD PARK, NY 14127-2354
(716) 662-4525
(716) 662-4138
Mailing address
6421 W QUAKER ST, ORCHARD PARK, NY 14127-2354
(716) 662-4525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU002605-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00654784
—
NY
01
—
441540262
RAILROAD MEDICARE
NY
Enumeration date
01/27/2011
Last updated
01/27/2011
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