Individual
MR. DENNIS MICHAEL ADEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
10401 BENNETT RD, FREDONIA, NY 14063-1402
(716) 679-3180
Mailing address
10401 BENNETT RD, FREDONIA, NY 14063-1402
(716) 679-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
C5885
NY
247200000X
Other Technician
5885
NY
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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