Individual
AMBER KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5735 S TRANSIT RD, LOCKPORT, NY 14094-5864
(716) 438-2906
Mailing address
5735 S TRANSIT RD, LOCKPORT, NY 14094-5864
(716) 438-2906
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008735
NY
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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