Organization
EVERGREEN OPTOMETRY PLLC
Active
Other names
Evergreen Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACKENZIE ANNE BRADLEY OD (OPTOMETRIST)
(716) 831-2717
Entity
Organization
Contact information
Practice address
17 LONG AVE STE 102, HAMBURG, NY 14075-6200
(716) 831-2717
(716) 831-2718
Mailing address
4845 TRANSIT RD APT B7, DEPEW, NY 14043-4717
(716) 831-2717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
05/30/2024
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