Organization
CHRISTINE C. PLATT M.D.
Active
Other names
Lakeview Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANON A BALLARD (BILLING MGR)
(585) 458-2020
Entity
Organization
Contact information
Practice address
1 LAKEVIEW PARK, ROCHESTER, NY 14613-1708
(585) 458-2020
(585) 458-3477
Mailing address
1 LAKEVIEW PARK, ROCHESTER, NY 14613-1708
(585) 458-2020
(585) 458-3477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T0006558
NY
207W00000X
Ophthalmology Physician
Primary
160134
NY
332H00000X
Eyewear Supplier
160134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01038619
—
NY
01
—
102473CR
PREFERRED CARE
NY
01
—
110109CS
PREFERRED CARE
NY
01
—
300238
WELLCARE
NY
01
—
5930359
AETNA
NY
01
—
7477432
AETNA
NY
01
—
8897
BLUE SHIELD
NY
01
—
P010006558
BLUE CHOICE
NY
01
—
P010160134
BLUE CHOICE
NY
01
—
P030006558
BLUE SHIELD
NY
Enumeration date
12/17/2007
Last updated
05/11/2009
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