Organization
LADOTA OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE E KEYES (ASSISTANT)
(716) 381-0698
Entity
Organization
Contact information
Practice address
363 DELAWARE ST, TONAWANDA, NY 14150-3951
(716) 695-2025
Mailing address
363 DELAWARE ST, TONAWANDA, NY 14150-3951
(716) 695-2025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TUV006986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02884724
—
NY
Enumeration date
05/01/2015
Last updated
05/01/2015
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