National Provider Identifier
Goran Dizdar
Goran Dizdar is listed in the NPPES registry with a primary specialty of Optician in Amherst, NY and a listed phone number of (716) 691-1192.
Profile Overview
- NPI
- 1134949423
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 12, 2024
- Last Updated
- October 12, 2024
Practice Location
- 3290 Sheridan Dr
- Amherst, NY 14226-1422
Phone: (716) 691-1192
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1134949423
- Entity Type
- Individual
- Last Name
- Dizdar
- First Name
- Goran
- Mailing Street Address
- 3290 Sheridan Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1422
- Mailing Country
- US
- Mailing Phone
- (716) 691-1192
- Mailing Fax
- (716) 834-2365
- Practice Street Address
- 3290 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1422
- Practice Country
- US
- Practice Phone
- (716) 691-1192
- Practice Fax
- (716) 834-2365
- Enumeration Date
- October 12, 2024
- Last Updated
- October 12, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)