National Provider Identifier

Lisa Marie King, OPTICIAN

Lisa Marie King, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Cheektowaga, NY and a listed phone number of (716) 937-4493.

NPI 1538294962Cheektowaga, NYOptician

Profile Overview

NPI
1538294962
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
February 23, 2007
Last Updated
July 08, 2007

Practice Location

  • 3035 Genesee St
  • Cheektowaga, NY 14225-2661

Phone: (716) 937-4493

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1538294962
Entity Type
Individual
Last Name
King
First Name
Lisa
Middle Name
Marie
Name Prefix
Mrs.
Credential
OPTICIAN
Mailing Street Address
3035 Genesee St
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2661
Mailing Country
US
Mailing Phone
(716) 937-4493
Practice Street Address
3035 Genesee St
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2661
Practice Country
US
Practice Phone
(716) 937-4493
Practice Fax
(716) 896-0171
Enumeration Date
February 23, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
NY6185 (NY, Eyemed), C006185-1 (NY, Ophthalmic License)