National Provider Identifier
Richard Barry Komm, OPTICIAN
Richard Barry Komm, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Tonawanda, NY and a listed phone number of (716) 694-4388.
Profile Overview
- NPI
- 1588752323
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2342 Niagara Falls Blvd
- Tonawanda, NY 14150-4759
Phone: (716) 694-4388
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1588752323
- Entity Type
- Individual
- Last Name
- Komm
- First Name
- Richard
- Middle Name
- Barry
- Name Prefix
- Mr.
- Credential
- OPTICIAN
- Provider Other Last Name
- Wilcox
- Provider Other First Name
- Gary
- Provider Other Middle Name
- Eugene
- Provider Other Name Prefix Text
- Mr.
- Provider Other Credential Text
- OPTICIAN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 2342 Niagara Falls Blvd
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-4759
- Mailing Country
- US
- Mailing Phone
- (716) 694-4388
- Mailing Fax
- (716) 694-1140
- Practice Street Address
- 2342 Niagara Falls Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-4759
- Practice Country
- US
- Practice Phone
- (716) 694-4388
- Practice Fax
- (716) 694-1140
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)