Individual
CHARLES ROBER ELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2345 RIDGEWAY AVE, ROCHESTER, NY 14626
(585) 723-6070
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 723-6070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004277
NY
Other
Enumeration date
06/26/2006
Last updated
07/22/2019
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