National Provider Identifier
Lisa Marie Genovese, O.D.
Lisa Marie Genovese, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Amherst, NY and a listed phone number of (716) 564-2020.
Profile Overview
- NPI
- 1487659553
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 16, 2005
- Last Updated
- January 22, 2010
Practice Location
- 2825 Niagara Falls Blvd
- Ste 130
- Amherst, NY 14228-2021
Phone: (716) 564-2020
Mailing Address
- 6053 Corinne Ln
- Clarence Center, NY 14032-9510
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1487659553
- Entity Type
- Individual
- Last Name
- Genovese
- First Name
- Lisa
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- O.D.
- Provider Other Last Name
- Maclaughlin
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- OD
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 6053 Corinne Ln
- Mailing City
- Clarence Center
- Mailing State
- NY
- Mailing ZIP Code
- 14032-9510
- Mailing Country
- US
- Mailing Phone
- (716) 741-0019
- Practice Street Address
- 2825 Niagara Falls Blvd
- Practice Address Line 2
- Ste 130
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2021
- Practice Country
- US
- Practice Phone
- (716) 564-2020
- Practice Fax
- (716) 564-2060
- Enumeration Date
- June 16, 2005
- Last Updated
- January 22, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 7290258 (Independent Health), 000390208003 (NY, Community Blue), 02443465 (NY), 251744484 (NY, Nova), 251744484 (NY, Empire - United Healthcar), 161578122 (NY, Empire - United Healthcar), 251744484 (NY, North American Preferred), P00412826 (NY, Medicare Railroad), 000390208004 (NY, Community Blue), 161578122 (NY, Nova)