Individual
KENNETH ROBERT DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-3937
(585) 506-4185
Mailing address
601 ELMWOOD AVE, BOX 888, ROCHESTER, NY 14642-0001
(585) 273-3937
(585) 506-4185
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007366
NY
Other
Enumeration date
08/18/2006
Last updated
07/22/2016
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