National Provider Identifier
Keith Edwin Oetinger, OPTICIAN
Keith Edwin Oetinger, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Spencerport, NY and a listed phone number of (585) 352-1960.
Profile Overview
- NPI
- 1386731321
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 24 West Ave
- Spencerport, NY 14559-1344
Phone: (585) 352-1960
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1386731321
- Entity Type
- Individual
- Last Name
- Oetinger
- First Name
- Keith
- Middle Name
- Edwin
- Credential
- OPTICIAN
- Mailing Street Address
- 24 West Ave
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-1344
- Mailing Country
- US
- Mailing Phone
- (585) 352-1960
- Mailing Fax
- (585) 349-7076
- Practice Street Address
- 24 West Ave
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-1344
- Practice Country
- US
- Practice Phone
- (585) 352-1960
- Practice Fax
- (585) 349-7076
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)