Individual
MISS GINA MARIE LIPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006495-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598707812
OAK ORCHARD BROCKPORT NPI
NY
01
—
17209159
EXCELLUS VENDOR #
NY
01
—
179014CT
PREFERRED CARE VENDOR #
NY
Enumeration date
07/07/2006
Last updated
09/05/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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