Provider Demographics
NPI:1649234063
Name:MROCHKO, CHRISTOPHER G (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:G
Last Name:MROCHKO
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 1:2921 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224
Mailing Address - Country:US
Mailing Address - Phone:315-445-7465
Mailing Address - Fax:315-445-7675
Practice Address - Street 1:3900 VESTAL PKWY E
Practice Address - Street 2:EMPIRE VISION CENTERS
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13852-0667
Practice Address - Country:US
Practice Address - Phone:607-729-1212
Practice Address - Fax:607-729-2605
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT0068111152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA4165Medicare ID - Type Unspecified
V01082Medicare UPIN