Organization
LAKESHORE MEDICAL CARE, PC
Active
Other names
Lakeshore Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILD M.D. (PRESIDENT)
(716) 934-3300
Entity
Organization
Contact information
Practice address
12657 SENECA RD, IRVING, NY 14081-9707
(716) 934-3300
(716) 934-3323
Mailing address
12657 SENECA RD, IRVING, NY 14081-9707
(716) 934-3300
(716) 934-3323
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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