Individual
DR. PETER J VISHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26 GENESEE ST, CUBA, NY 14727-1115
(585) 968-2210
(856) 627-2020
Mailing address
2 DUCK POND CT, VOORHEES, NJ 08043-3686
(856) 627-2020
(856) 627-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0035251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0433900001
NSC
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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