Organization
KENMORE EYECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN BURSTEIN OD (OPTOMETRIST)
(716) 876-2020
Entity
Organization
Contact information
Practice address
924 KENMORE AVE, BUFFALO, NY 14216-1451
(716) 876-2020
(716) 876-2020
Mailing address
924 KENMORE AVE, BUFFALO, NY 14216-1451
(716) 876-2020
(716) 876-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00945620
—
NY
Enumeration date
10/09/2007
Last updated
10/09/2007
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