National Provider Identifier

Kristina Marie Ackerman, OPHTHALMIC DISPENSER

Kristina Marie Ackerman, OPHTHALMIC DISPENSER is listed in the NPPES registry with a primary specialty of Optician in Webster, NY and a listed phone number of (585) 276-8608.

NPI 1164919114Webster, NYOptician

Profile Overview

NPI
1164919114
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
April 16, 2018
Last Updated
April 16, 2018

Practice Location

  • 603 Ridge RD
  • Webster, NY 14580-2316

Phone: (585) 276-8608

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1164919114
Entity Type
Individual
Last Name
Ackerman
First Name
Kristina
Middle Name
Marie
Credential
OPHTHALMIC DISPENSER
Mailing Street Address
603 Ridge RD
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2316
Mailing Country
US
Mailing Phone
(585) 276-8608
Practice Street Address
603 Ridge RD
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2316
Practice Country
US
Practice Phone
(585) 276-8608
Enumeration Date
April 16, 2018
Last Updated
April 16, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)