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ERIC THEODORE LINDBLOOM IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
665 CLEVELAND DR, CHEEKTOWAGA, NY 14225-1042
(716) 836-4949
(716) 836-1517
Mailing address
11495 CARY RD, ALDEN, NY 14004-9597
(716) 597-5203

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
C009722
NY
156FX1800X
Optician
Primary
C009722
NY

Other

Enumeration date
10/24/2017
Last updated
10/24/2017
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