Provider Demographics
NPI:1669439725
Name:VISION ASSOCIATES OF ROCHESTER
Entity Type:Organization
Organization Name:VISION ASSOCIATES OF ROCHESTER
Other - Org Name:ROCHESTER OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-254-0020
Mailing Address - Street 1:1240 LYELL AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-2026
Mailing Address - Country:US
Mailing Address - Phone:585-254-0193
Mailing Address - Fax:585-254-2044
Practice Address - Street 1:1260 LYELL AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-2040
Practice Address - Country:US
Practice Address - Phone:585-254-0022
Practice Address - Fax:585-254-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty