Individual
DR. GREGORY J FLAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Mailing address
7899 STATE ROUTE 21, HORNELL, NY 14843-9669
(605) 200-2325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
235
AK
152W00000X
Optometrist
558
SD
152W00000X
Optometrist
Primary
RT006640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000538823002
BCBS
NY
05
—
04372932
—
NY
01
—
10566229
IHA
NY
01
—
4107243
AMERIGROUP
NY
01
—
430083
MEDICARE ID
SD
Enumeration date
05/12/2006
Last updated
04/21/2025
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