National Provider Identifier

Gary Eugene Wilcox, OPTICIAN

Gary Eugene Wilcox, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Lewiston, NY and a listed phone number of (716) 754-2555.

NPI 1083796759Lewiston, NYOptician

Profile Overview

NPI
1083796759
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
October 20, 2006
Last Updated
July 08, 2007

Practice Location

  • 900 Center Street
  • Lewiston, NY 14092-1737

Phone: (716) 754-2555

Mailing Address

  • 900 Center St
  • Lewiston, NY 14092

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1083796759
Entity Type
Individual
Last Name
Wilcox
First Name
Gary
Middle Name
Eugene
Name Prefix
Mr.
Credential
OPTICIAN
Mailing Street Address
900 Center St
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092
Mailing Country
US
Mailing Phone
(716) 754-2555
Mailing Fax
(716) 754-8650
Practice Street Address
900 Center Street
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1737
Practice Country
US
Practice Phone
(716) 754-2555
Practice Fax
(716) 754-8650
Enumeration Date
October 20, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)