Provider Demographics
NPI:1851366884
Name:COUNCIL OPTICIANS
Entity Type:Organization
Organization Name:COUNCIL OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TRZEPKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:716-648-5761
Mailing Address - Street 1:COUNCIL OPTICIANS
Mailing Address - Street 2:5999 SOUTH PARK AVENUE
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3719
Mailing Address - Country:US
Mailing Address - Phone:716-648-5761
Mailing Address - Fax:716-648-4044
Practice Address - Street 1:COUNCIL OPTICIANS
Practice Address - Street 2:5999 SOUTH PARK AVENUE
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3719
Practice Address - Country:US
Practice Address - Phone:716-648-5761
Practice Address - Fax:716-648-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT4727152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP92426Medicare UPIN