Individual
DR. CHARLES M SANGEORGE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4255 MCKINLEY PKWY, INSIDE WAL-MART VISION CENTER, HAMBURG, NY 14075-1005
(716) 646-0564
(716) 646-0571
Mailing address
4255 MCKINLEY PKWY, INSIDE WAL-MART VISION CENTER, HAMBURG, NY 14075-1005
(716) 646-0564
(716) 646-0571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390184002
COMMUNITY BLUE
NY
01
—
000390184004
COMMUNITY BLUE
NY
01
—
141345
COLE MANAGED VISION
NY
01
—
17207
SPECTERA
NY
01
—
50527
DAVIS VISION
NY
01
—
919920
BLOCK VISION
NY
01
—
988665
HIGHMARK BC & BS
NY
01
—
NY3441
EYEMED
NY
Enumeration date
06/28/2005
Last updated
01/11/2008
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