Provider Demographics
NPI:1720047483
Name:KAMINSKA, THOMAS M (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:KAMINSKA
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 1:3356 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5031
Mailing Address - Country:US
Mailing Address - Phone:716-631-2020
Mailing Address - Fax:716-633-3351
Practice Address - Street 1:3356 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-5031
Practice Address - Country:US
Practice Address - Phone:716-631-2020
Practice Address - Fax:716-633-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV3940-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY442580141OtherRAILRAOD MEDICARE
T88397Medicare UPIN
NY081371Medicare PIN