Provider Demographics
NPI:1740475953
Name:EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP
Entity type:Organization
Organization Name:EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-884-2232
Mailing Address - Street 1:932 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1212
Mailing Address - Country:US
Mailing Address - Phone:716-884-2232
Mailing Address - Fax:716-884-0811
Practice Address - Street 1:932 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222
Practice Address - Country:US
Practice Address - Phone:716-884-2232
Practice Address - Fax:716-884-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1185730003Medicare NSC