Basic Information
| Provider Information | |||||||||
| NPI: | 1558556761 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 811 MAPLE RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142213260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166485329 | ||||||||
| FaxNumber: | 7166483185 | ||||||||
| Practice Location | |||||||||
| Address1: | 811 MAPLE RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142213260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166485329 | ||||||||
| FaxNumber: | 7166483185 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2007 | ||||||||
| LastUpdateDate: | 07/13/2017 | ||||||||
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| AuthorizedOfficialLastName: | STITZINGER | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7166318888 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332H00000X | Y | Suppliers | Eyewear Supplier (Equipment, not the service) |
No ID Information.