Provider Demographics
NPI:1255633426
Name:TAO OPTOMETRY LLC
Entity type:Organization
Organization Name:TAO OPTOMETRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/MEMBER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-905-4103
Mailing Address - Street 1:2375 ROCHESTER RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-7509
Mailing Address - Country:US
Mailing Address - Phone:585-393-0031
Mailing Address - Fax:585-393-0032
Practice Address - Street 1:2375 ROCHESTER RD STE 500
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-7509
Practice Address - Country:US
Practice Address - Phone:585-393-0031
Practice Address - Fax:585-393-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU86177Medicare UPIN
NYCC7338Medicare PIN