Provider Demographics
NPI:1790725943
Name:KORNFELD, GEORGE S (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:KORNFELD
Suffix:
Gender:M
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2410
Mailing Address - Country:US
Mailing Address - Phone:585-271-7320
Mailing Address - Fax:585-271-4606
Practice Address - Street 1:2180 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2410
Practice Address - Country:US
Practice Address - Phone:585-271-7320
Practice Address - Fax:585-271-4606
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT3056-1152W00000X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01206257Medicaid
NY01206257Medicaid
NY10163BMedicare ID - Type Unspecified