Organization
ALLEGANY OPHTHALMOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY KAREN DAVENPORT (DIRECTOR OF OPERATIONS)
(716) 372-9464
Entity
Organization
Contact information
Practice address
34 BROADWAY MALL, HORNELL, NY 14843-1920
(607) 324-7710
(716) 790-8126
Mailing address
34 BROADWAY MALL, HORNELL, NY 14843-1920
(607) 324-7710
(716) 790-8126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J100082768
MEDICARE PTAN
—
Enumeration date
11/14/2016
Last updated
09/23/2025
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