National Provider Identifier

Beth A Reali, OD

Beth A Reali, OD is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 424-5970.

NPI 1255316493Rochester, NYOptometrist

Profile Overview

NPI
1255316493
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
December 09, 2005
Last Updated
January 27, 2016

Practice Location

  • 3333 W Henrietta RD
  • Rochester, NY 14623-3543

Phone: (585) 424-5970

Mailing Address

  • 4170 Pennemite RD
  • Livonia, NY 14487-9625

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1255316493
Entity Type
Individual
Last Name
Reali
First Name
Beth
Middle Name
A
Credential
OD
Provider Other Last Name
Reali
Provider Other First Name
Beth
Provider Other Middle Name
A
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
OD
Provider Other Last Name Type Code
2
Mailing Street Address
4170 Pennemite RD
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9625
Mailing Country
US
Mailing Phone
(585) 346-3422
Practice Street Address
3333 W Henrietta RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3543
Practice Country
US
Practice Phone
(585) 424-5970
Practice Fax
(585) 424-5973
Enumeration Date
December 09, 2005
Last Updated
January 27, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
122289 (Cole Managed Care), NY5235 (Eye Med), 101990 (NY, Hmo Preferred Care), 01436039 (NY), P010005235 (NY, Blue Choice Hmo)