National Provider Identifier
Alyssa Lynn Fortuna
Alyssa Lynn Fortuna is listed in the NPPES registry with a primary specialty of Optometrist in Batavia, NY and a listed phone number of (585) 344-1345.
Profile Overview
- NPI
- 1114544764
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 30, 2020
- Last Updated
- January 20, 2021
Practice Location
- 113 Main St
- Batavia, NY 14020-2100
Phone: (585) 344-1345
Mailing Address
- 210 Enchanted Frst N
- Depew, NY 14043-5010
Specialties
- Optometrist (152W00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1114544764
- Entity Type
- Individual
- Last Name
- Fortuna
- First Name
- Alyssa
- Middle Name
- Lynn
- Mailing Street Address
- 210 Enchanted Frst N
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-5010
- Mailing Country
- US
- Mailing Phone
- (716) 912-5240
- Practice Street Address
- 113 Main St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2100
- Practice Country
- US
- Practice Phone
- (585) 344-1345
- Enumeration Date
- June 30, 2020
- Last Updated
- January 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Student in an Organized Health Care Education/Training Program (390200000X)