National Provider Identifier

Rochester Eye Care Group PC

Rochester Eye Care Group PC is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 232-2560.

NPI 1427065515Rochester, NYEyewear Supplier

Profile Overview

NPI
1427065515
Provider Type
Organization
Primary Specialty
Eyewear Supplier
Enumeration Date
August 02, 2006
Last Updated
June 03, 2008

Practice Location

  • 1400 Portland Ave
  • Suite 20
  • Rochester, NY 14621-3014

Phone: (585) 232-2560

Specialties

  • Eyewear Supplier (332H00000X)
Full Record
NPI
1427065515
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Rochester Eye Care Group PC
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1400 Portland Ave
Mailing Address Line 2
Suite 20
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3014
Mailing Country
US
Mailing Phone
(585) 232-2560
Practice Street Address
1400 Portland Ave
Practice Address Line 2
Suite 20
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3014
Practice Country
US
Practice Phone
(585) 232-2560
Enumeration Date
August 02, 2006
Last Updated
June 03, 2008
Authorized Official Last Name
Baldick
Authorized Official First Name
Jeffery
Authorized Official Middle Name
Eugene
Authorized Official Title
Administrator
Authorized Official Phone
(585) 232-2560
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Eyewear Supplier (332H00000X)
Other Identifiers
P017960059 (NY, Excellus Blue Choice), 103358CT (NY, Preferred Care)