Organization
LPEC MEDICAL EYE CARE PLLC
Active
Other names
Lake Plains Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE R WATTS (OFFICE MANAGER)
(585) 798-2020
Entity
Organization
Contact information
Practice address
500 ERIE ST S, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365
Mailing address
500 ERIE ST SOUTH, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
120403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02873274
—
NY
01
—
P017812763
BLUE CHOICE ROCHESTER
NY
Enumeration date
08/31/2006
Last updated
06/06/2008
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