Provider Demographics
NPI:1255390746
Name:CHUTE, RICHARD R (OD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:R
Last Name:CHUTE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 W MAIN ST
Mailing Address - Street 2:C & R VISION
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1157
Mailing Address - Country:US
Mailing Address - Phone:585-924-4430
Mailing Address - Fax:585-924-4093
Practice Address - Street 1:274 W MAIN ST
Practice Address - Street 2:C & R VISION
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1157
Practice Address - Country:US
Practice Address - Phone:585-924-4430
Practice Address - Fax:585-924-4093
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4519152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00920287Medicaid
NY00920287Medicaid
NYT26208Medicare UPIN
NY1255390746Medicare NSC