Provider Demographics
NPI:1508827221
Name:SACHS, EDWARD G (OD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:G
Last Name:SACHS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3349 MONROE AVE
Mailing Address - Street 2:PEARLE VISION
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5513
Mailing Address - Country:US
Mailing Address - Phone:585-381-1616
Mailing Address - Fax:585-381-0718
Practice Address - Street 1:3349 MONROE AVE
Practice Address - Street 2:PEARLE VISION
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5513
Practice Address - Country:US
Practice Address - Phone:585-381-1616
Practice Address - Fax:585-381-0718
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0033951152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB9870Medicare ID - Type Unspecified
T25902Medicare UPIN