Organization
LPEC MEDICAL EYECARE PLLC
Active
Organization
LPEC MEDICAL EYECARE PLLC
Active
Other names
Lake Plains Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR W MRUCZEK SR. MD (OWNER)
(585) 798-2020
Entity
Organization
Contact information
Practice address
500 ERIE ST, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365
Mailing address
500 ERIE ST, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
006723
NY
332H00000X
Eyewear Supplier
Primary
120403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02140210
—
NY
Enumeration date
04/28/2008
Last updated
04/28/2008
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