Individual
DR. MARK EDWARD RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2825 NIAGARA FALLS BLVD, SUITE 130, AMHERST, NY 14228-2046
(716) 564-2020
(716) 564-2060
Mailing address
16 HERITAGE RD E, WILLIAMSVILLE, NY 14221-2308
(716) 688-6336
(716) 831-3837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003601-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0890279
INDEPENDENT HEALTH
NY
Enumeration date
02/23/2006
Last updated
11/24/2008
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