Organization
ROCHESTER EYE CARE GROUP PC
Active
Organization
ROCHESTER EYE CARE GROUP PC
Active
Other names
Eye2Eye Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY EUGENE BALDICK (ADMINISTRATOR)
(585) 232-2560
Entity
Organization
Contact information
Practice address
1400 PORTLAND AVE, SUITE 20, ROCHESTER, NY 14621-3014
(585) 232-2560
Mailing address
1400 PORTLAND AVE, SUITE 20, ROCHESTER, NY 14621-3014
(585) 232-2560
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103358CT
PREFERRED CARE
NY
01
—
P017960059
EXCELLUS BLUE CHOICE
NY
Enumeration date
08/02/2006
Last updated
06/03/2008
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