Individual
DR. MICHAEL D DEPAOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
169 RUE DE VL, ROCHESTER, NY 14618-5619
(585) 271-2990
Mailing address
16 RANDOM WOODS, PITTSFORD, NY 14534-1440
(585) 586-1840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4109
NY
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV004109-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01594903
—
NY
Enumeration date
06/28/2005
Last updated
07/05/2023
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