National Provider Identifier
Elizabeth Ann Dannebrock, O.D.
Elizabeth Ann Dannebrock, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Lockport, NY and a listed phone number of (716) 434-8063.
Profile Overview
- NPI
- 1134483191
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 25, 2012
- Last Updated
- September 09, 2019
Practice Location
- 500 Davison RD
- Lockport, NY 14094-4021
Phone: (716) 434-8063
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1134483191
- Entity Type
- Individual
- Last Name
- Dannebrock
- First Name
- Elizabeth
- Middle Name
- Ann
- Name Prefix
- Dr.
- Credential
- O.D.
- Provider Other Last Name
- Hetrick
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- Ann
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- O.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 500 Davison RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-4021
- Mailing Country
- US
- Mailing Phone
- (716) 434-8063
- Mailing Fax
- (716) 434-2845
- Practice Street Address
- 500 Davison RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-4021
- Practice Country
- US
- Practice Phone
- (716) 434-8063
- Practice Fax
- (716) 434-2845
- Enumeration Date
- June 25, 2012
- Last Updated
- September 09, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)