Organization
ROCHESTER EYE ASSOCIATES PHYSICIANS & SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE E. WILLOWS MD (PRESIDENT)
(585) 244-0332
Entity
Organization
Contact information
Practice address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618
(585) 244-0332
(585) 473-8833
Mailing address
2301 LAC DE VILLE BLVD, ROCHESTER, NY 14618
(585) 244-0332
(585) 244-8365
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01471127
—
NY
01
—
0610260002
DMERC
NY
Enumeration date
05/09/2007
Last updated
09/10/2013
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