Provider Demographics
NPI:1710291422
Name:WITTMAN, LINDSAY ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANN
Last Name:WITTMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:ANN
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:800 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1906
Mailing Address - Country:US
Mailing Address - Phone:716-207-1857
Mailing Address - Fax:
Practice Address - Street 1:1161 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2701
Practice Address - Country:US
Practice Address - Phone:716-824-2631
Practice Address - Fax:716-824-3173
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007774152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist