National Provider Identifier

Association For The Blind And Visually Impaired-Goodwill Industries Of

Association For The Blind And Visually Impaired-Goodwill Industries Of is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 232-1111.

NPI 1053397273Rochester, NYEyewear Supplier

Profile Overview

NPI
1053397273
Provider Type
Organization
Primary Specialty
Eyewear Supplier
Enumeration Date
December 20, 2005
Last Updated
January 09, 2017

Practice Location

  • 422 Clinton Ave S
  • Rochester, NY 14620-1103

Phone: (585) 232-1111

Specialties

  • Eyewear Supplier (332H00000X)
  • Ophthalmology Physician (207W00000X)
  • Optometrist (152W00000X)
Full Record
NPI
1053397273
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Association For The Blind And Visually Impaired-Goodwill Industries Of
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
422 Clinton Ave S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1103
Mailing Country
US
Mailing Phone
(585) 232-1111
Mailing Fax
(585) 232-2972
Practice Street Address
422 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1103
Practice Country
US
Practice Phone
(585) 232-1111
Practice Fax
(585) 232-2972
Enumeration Date
December 20, 2005
Last Updated
January 09, 2017
Authorized Official Last Name
Klemann
Authorized Official First Name
George
Authorized Official Middle Name
F.
Authorized Official Title
Chief Financial Officer
Authorized Official Phone
(585) 232-1111
Organization Subpart
Yes
Parent Organization Name
ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED-GOODWILL INDUSTRIES OF
Parent Organization TIN
<UNAVAIL>
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomies
Eyewear Supplier (332H00000X), Ophthalmology Physician (207W00000X), Optometrist (152W00000X)