Provider Demographics
NPI:1134281553
Name:LIPANI, MARGARET M (OD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:LIPANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 FOUR ROD RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-9529
Mailing Address - Country:US
Mailing Address - Phone:585-344-4000
Mailing Address - Fax:585-344-7063
Practice Address - Street 1:8336 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1252
Practice Address - Country:US
Practice Address - Phone:585-344-4000
Practice Address - Fax:585-344-7063
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT5010152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY124037Medicare UPIN
NYJ400005986Medicare PIN