National Provider Identifier
Donna Kimack, OPTOMETRIST
Donna Kimack, OPTOMETRIST is listed in the NPPES registry with a primary specialty of Optometrist in Buffalo, NY and a listed phone number of (716) 824-2631.
Profile Overview
- NPI
- 1336292119
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1161 Abbott RD
- Buffalo, NY 14220-2701
Phone: (716) 824-2631
Mailing Address
- 8326 Back Creek RD
- Boston, NY 14025-9702
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1336292119
- Entity Type
- Individual
- Last Name
- Kimack
- First Name
- Donna
- Name Prefix
- Dr.
- Credential
- OPTOMETRIST
- Mailing Street Address
- 8326 Back Creek RD
- Mailing City
- Boston
- Mailing State
- NY
- Mailing ZIP Code
- 14025-9702
- Mailing Country
- US
- Mailing Phone
- (716) 941-9150
- Practice Street Address
- 1161 Abbott RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2701
- Practice Country
- US
- Practice Phone
- (716) 824-2631
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- VUT004790-1 (NY, License), 000390033002 (NY, BCBS Community Blue)