Organization
DAVISON ROAD OPTICAL INC
Active
Other names
Newfane Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVIEVE L SNYDER (ADMINISTRATOR)
(716) 434-8063
Entity
Organization
Contact information
Practice address
500 DAVISON ROAD, LOCKPORT, NY 14094
(716) 434-8063
(716) 434-2845
Mailing address
500 DAVISON ROAD, LOCKPORT, NY 14094
(716) 434-8063
(716) 434-2845
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026473001
UNIVERA
NY
01
—
000300233002
BCBS PROV. ID
NY
01
—
0005901355
AETNA
NY
01
—
106166CS
PREFERRED CARE
NY
01
—
149010
COLE
NY
01
—
330867
NVA
NY
01
—
7212222
INDEPENDENT HEALTH
NY
01
—
NY3149
EYEMED
NY
Enumeration date
03/20/2007
Last updated
04/20/2008
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