National Provider Identifier

Arthur W Mruczek SR., MD

Arthur W Mruczek SR., MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Medina, NY and a listed phone number of (585) 798-2020.

NPI 1124097878Medina, NYOphthalmology Physician

Profile Overview

NPI
1124097878
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
March 15, 2006
Last Updated
June 05, 2008

Practice Location

  • 500 Erie Street South
  • Lake Plains Eye Center
  • Medina, NY 14103

Phone: (585) 798-2020

Mailing Address

  • 500 Erie Street South
  • Lpec Medical Eye Care PLLC
  • Medina, NY 14103

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1124097878
Entity Type
Individual
Last Name
Mruczek
First Name
Arthur
Middle Name
W
Name Prefix
Dr.
Name Suffix
SR.
Credential
MD
Mailing Street Address
500 Erie Street South
Mailing Address Line 2
Lpec Medical Eye Care PLLC
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103
Mailing Country
US
Mailing Phone
(585) 798-2020
Mailing Fax
(585) 798-3365
Practice Street Address
500 Erie Street South
Practice Address Line 2
Lake Plains Eye Center
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103
Practice Country
US
Practice Phone
(585) 798-2020
Practice Fax
(585) 798-3365
Enumeration Date
March 15, 2006
Last Updated
June 05, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
P020120403 (NY, Blue Choice), 100689CR (NY, Preferred Care), P017812763 (NY, Blue Choice), 00010122705 (NY, Univera), 060905000047 (NY, Fidelis), 00466862 (NY)