Organization
JENNIFER J DOTTERWEICH OPTOMETRY, PC
Active
Other names
Livingston Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J DOTTERWEICH OD (PRESIDENT)
(585) 226-3400
Entity
Organization
Contact information
Practice address
243 E MAIN ST, AVON, NY 14414-1421
(585) 226-3400
(585) 438-4148
Mailing address
243 E MAIN ST, AVON, NY 14414-1475
(508) 837-3790
(585) 438-4148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6150
NY
332H00000X
Eyewear Supplier
6150
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6358210001
MEDICARE PTAN
NY
Enumeration date
03/25/2010
Last updated
07/15/2021
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