Provider Demographics
NPI:1205365293
Name:WENDEL VISION CARE PLLC
Entity Type:Organization
Organization Name:WENDEL VISION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIEST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-570-4015
Mailing Address - Street 1:151 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-1431
Mailing Address - Country:US
Mailing Address - Phone:614-570-4015
Mailing Address - Fax:
Practice Address - Street 1:4235 VETERAN DR
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9442
Practice Address - Country:US
Practice Address - Phone:614-570-4015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007631152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty