National Provider Identifier

J Todd Demario, O.D.

J Todd Demario, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Hamburg, NY and a listed phone number of (716) 648-5761.

NPI 1659348225Hamburg, NYOptometrist

Profile Overview

NPI
1659348225
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
March 02, 2006
Last Updated
April 27, 2021

Practice Location

  • 6000 S Park Ave
  • Hamburg, NY 14075-3758

Phone: (716) 648-5761

Mailing Address

  • 6286 Old Lake Shore RD
  • Lot 4
  • Lake View, NY 14085-9561

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1659348225
Entity Type
Individual
Last Name
Demario
First Name
J
Middle Name
Todd
Name Prefix
Dr.
Credential
O.D.
Mailing Street Address
6286 Old Lake Shore RD
Mailing Address Line 2
Lot 4
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9561
Mailing Country
US
Mailing Phone
(716) 627-5809
Practice Street Address
6000 S Park Ave
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-3758
Practice Country
US
Practice Phone
(716) 648-5761
Practice Fax
(716) 648-4044
Enumeration Date
March 02, 2006
Last Updated
April 27, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
April 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)