National Provider Identifier
Barry T Kissack, O.D.
Barry T Kissack, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Honeoye Falls, NY and a listed phone number of (585) 624-2585.
Profile Overview
- NPI
- 1629074554
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 24, 2005
- Last Updated
- December 12, 2007
Practice Location
- 7 N Main St
- Honeoye Falls, NY 14472-1013
Phone: (585) 624-2585
Mailing Address
- 7 N Main St
- PO Box 549
- Honeoye Falls, NY 14472-1013
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1629074554
- Entity Type
- Individual
- Last Name
- Kissack
- First Name
- Barry
- Middle Name
- T
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 7 N Main St
- Mailing Address Line 2
- PO Box 549
- Mailing City
- Honeoye Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14472-1013
- Mailing Country
- US
- Mailing Phone
- (585) 624-2585
- Mailing Fax
- (585) 624-3140
- Practice Street Address
- 7 N Main St
- Practice City
- Honeoye Falls
- Practice State
- NY
- Practice ZIP Code
- 14472-1013
- Practice Country
- US
- Practice Phone
- (585) 624-2585
- Practice Fax
- (585) 624-3140
- Enumeration Date
- June 24, 2005
- Last Updated
- December 12, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)