National Provider Identifier
Western New York Medical Practice, P.C.
Western New York Medical Practice, P.C. is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 544-6680.
Profile Overview
- NPI
- 1205643400
- Provider Type
- Organization
- Primary Specialty
- Optician
- Enumeration Date
- December 12, 2024
- Last Updated
- December 12, 2024
Practice Location
- 1338 E Ridge RD
- Rochester, NY 14621-2018
Phone: (585) 544-6680
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Optician (156FX1800X)
- Eyewear Supplier (332H00000X)
Full Record
- NPI
- 1205643400
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Western New York Medical Practice, P.C.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1338 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2018
- Practice Country
- US
- Practice Phone
- (585) 544-6680
- Enumeration Date
- December 12, 2024
- Last Updated
- December 12, 2024
- Authorized Official Last Name
- Holder
- Authorized Official First Name
- Nichole
- Authorized Official Middle Name
- S
- Authorized Official Title
- Director - Payer Enrollment
- Authorized Official Phone
- (585) 922-0293
- Organization Subpart
- Yes
- Parent Organization Name
- WESTERN NEW YORK MEDICAL PRACTICE, P.C.
- Parent Organization TIN
- <UNAVAIL>
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- December 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X), Eyewear Supplier (332H00000X)