National Provider Identifier
Theodore Peter Fortuna, OPHTHALMIC DISPENSER
Theodore Peter Fortuna, OPHTHALMIC DISPENSER is listed in the NPPES registry with a primary specialty of Ophthalmic Technician/Technologist in Batavia, NY and a listed phone number of (585) 344-1345.
Profile Overview
- NPI
- 1649220013
- Provider Type
- Individual
- Primary Specialty
- Ophthalmic Technician/Technologist
- Enumeration Date
- May 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 113 Main St
- Ste 2
- Batavia, NY 14020
Phone: (585) 344-1345
Specialties
- Ophthalmic Technician/Technologist (156FX1100X)
Full Record
- NPI
- 1649220013
- Entity Type
- Individual
- Last Name
- Fortuna
- First Name
- Theodore
- Middle Name
- Peter
- Credential
- OPHTHALMIC DISPENSER
- Mailing Street Address
- 113 Main St
- Mailing Address Line 2
- Ste 2
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020
- Mailing Country
- US
- Mailing Phone
- (585) 344-1345
- Practice Street Address
- 113 Main St
- Practice Address Line 2
- Ste 2
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020
- Practice Country
- US
- Practice Phone
- (585) 344-1345
- Enumeration Date
- May 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmic Technician/Technologist (156FX1100X)