National Provider Identifier
Gina Marie Lippa, OPTICIAN
Gina Marie Lippa, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Brockport, NY and a listed phone number of (585) 637-3905.
Profile Overview
- NPI
- 1497787600
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- July 07, 2006
- Last Updated
- September 05, 2007
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 637-3905
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1497787600
- Entity Type
- Individual
- Last Name
- Lippa
- First Name
- Gina
- Middle Name
- Marie
- Name Prefix
- Miss
- Credential
- OPTICIAN
- Provider Other Last Name
- Davis
- Provider Other First Name
- Gina
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- OPTICIAN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 300 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1118
- Mailing Country
- US
- Mailing Phone
- (585) 637-3905
- Mailing Fax
- (585) 637-4990
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 637-3905
- Practice Fax
- (585) 637-4990
- Enumeration Date
- July 07, 2006
- Last Updated
- September 05, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)
- Other Identifiers
- 1598707812 (NY, Oak Orchard Brockport NPI), 179014CT (NY, Preferred Care Vendor #), 17209159 (NY, Excellus Vendor #)