National Provider Identifier

Sandra Kae Landon

Sandra Kae Landon is listed in the NPPES registry with a primary specialty of Optician in Lakeville, NY and a listed phone number of (585) 346-2400.

NPI 1700383072Lakeville, NYOptician

Profile Overview

NPI
1700383072
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
April 12, 2018
Last Updated
April 12, 2018

Practice Location

  • 6003 Big Tree RD
  • Lakeville, NY 14480-9753

Phone: (585) 346-2400

Mailing Address

  • 2469 State Route 19 N
  • Warsaw, NY 14569-9336

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1700383072
Entity Type
Individual
Last Name
Landon
First Name
Sandra
Middle Name
Kae
Name Prefix
Mrs.
Mailing Street Address
2469 State Route 19 N
Mailing City
Warsaw
Mailing State
NY
Mailing ZIP Code
14569-9336
Mailing Country
US
Mailing Phone
(585) 786-8505
Practice Street Address
6003 Big Tree RD
Practice City
Lakeville
Practice State
NY
Practice ZIP Code
14480-9753
Practice Country
US
Practice Phone
(585) 346-2400
Practice Fax
(585) 346-2413
Enumeration Date
April 12, 2018
Last Updated
April 12, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
1417350463 (NY)