Basic Information
| Provider Information | |||||||||
| NPI: | 1013180470 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EYE CARE AND VISION ASSOC. LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 HOPKINS RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142214641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166318888 | ||||||||
| FaxNumber: | 7166313803 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 HOPKINS RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142214641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166318888 | ||||||||
| FaxNumber: | 7166313803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2008 | ||||||||
| LastUpdateDate: | 02/18/2010 | ||||||||
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| AuthorizedOfficialLastName: | HOLMWOOD | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7166318888 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.