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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