National Provider Identifier

Dawn Louise Pisello, O.D.

Dawn Louise Pisello, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Canandaigua, NY and a listed phone number of (585) 394-2020.

NPI 1386647154Canandaigua, NYOptometrist

Profile Overview

NPI
1386647154
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
May 24, 2005
Last Updated
September 29, 2016

Practice Location

  • 325 West St
  • Canandaigua, NY 14424-1723

Phone: (585) 394-2020

Mailing Address

  • 274 W Main St
  • Victor, NY 14564-1157

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1386647154
Entity Type
Individual
Last Name
Pisello
First Name
Dawn
Middle Name
Louise
Name Prefix
Dr.
Credential
O.D.
Mailing Street Address
274 W Main St
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-1157
Mailing Country
US
Mailing Phone
(585) 924-4430
Practice Street Address
325 West St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1723
Practice Country
US
Practice Phone
(585) 394-2020
Practice Fax
(585) 394-9261
Enumeration Date
May 24, 2005
Last Updated
September 29, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
01627430 (NY)