Provider Demographics
NPI:1821491887
Name:UES OPTICAL, INC
Entity Type:Organization
Organization Name:UES OPTICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-786-2288
Mailing Address - Street 1:6003 BIG TREE RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14480-9753
Mailing Address - Country:US
Mailing Address - Phone:585-346-9070
Mailing Address - Fax:585-346-4350
Practice Address - Street 1:6003 BIG TREE RD
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:NY
Practice Address - Zip Code:14480-9753
Practice Address - Country:US
Practice Address - Phone:585-346-9070
Practice Address - Fax:585-346-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies