Provider Demographics
NPI:1457328650
Name:TRZEPKOWSKI, FRANCIS ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:TRZEPKOWSKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5999 S PARK AVE
Mailing Address - Street 2:COUNCIL OPTICIANS
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3719
Mailing Address - Country:US
Mailing Address - Phone:716-648-5761
Mailing Address - Fax:716-648-4044
Practice Address - Street 1:5999 S PARK AVE
Practice Address - Street 2:COUNCIL OPTICIANS
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3719
Practice Address - Country:US
Practice Address - Phone:716-648-5761
Practice Address - Fax:716-648-4044
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT4727152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP92426Medicare UPIN