National Provider Identifier

Carl Richard Endres, OPTHALMIC DISPENSER

Carl Richard Endres, OPTHALMIC DISPENSER is listed in the NPPES registry with a primary specialty of Optician in West Seneca, NY and a listed phone number of (716) 674-8446.

NPI 1124248760West Seneca, NYOptician

Profile Overview

NPI
1124248760
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
April 26, 2007
Last Updated
July 08, 2007

Practice Location

  • 1777 Orchard Park RD
  • West Seneca, NY 14224-4624

Phone: (716) 674-8446

Mailing Address

  • 5470 Abel RD
  • Hamburg, NY 14075-3641

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1124248760
Entity Type
Individual
Last Name
Endres
First Name
Carl
Middle Name
Richard
Name Prefix
Mr.
Credential
OPTHALMIC DISPENSER
Mailing Street Address
5470 Abel RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-3641
Mailing Country
US
Mailing Phone
(716) 648-7575
Practice Street Address
1777 Orchard Park RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-4624
Practice Country
US
Practice Phone
(716) 674-8446
Practice Fax
(716) 674-2682
Enumeration Date
April 26, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)