Provider Demographics
NPI:1083764716
Name:ALDINGER, CHARLES JOHN (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:JOHN
Last Name:ALDINGER
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
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Mailing Address - Street 1:2300 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1367
Mailing Address - Country:US
Mailing Address - Phone:585-328-0153
Mailing Address - Fax:585-328-0158
Practice Address - Street 1:1972 S CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5620
Practice Address - Country:US
Practice Address - Phone:585-244-2200
Practice Address - Fax:585-244-3416
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1245467711OtherNPI