National Provider Identifier

Brian Anthony Matuszak, O.D

Brian Anthony Matuszak, O.D is listed in the NPPES registry with a primary specialty of Optometrist in Lancaster, NY and a listed phone number of (716) 685-4050.

NPI 1720167661Lancaster, NYOptometrist

Profile Overview

NPI
1720167661
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
November 02, 2006
Last Updated
November 16, 2011

Practice Location

  • 5430 Broadway St
  • Lancaster, NY 14086-2124

Phone: (716) 685-4050

Mailing Address

  • 396 Woodlin Ave
  • North Tonawanda, NY 14120-4743

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1720167661
Entity Type
Individual
Last Name
Matuszak
First Name
Brian
Middle Name
Anthony
Name Prefix
Dr.
Credential
O.D
Mailing Street Address
396 Woodlin Ave
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4743
Mailing Country
US
Mailing Phone
(716) 692-6552
Practice Street Address
5430 Broadway St
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-2124
Practice Country
US
Practice Phone
(716) 685-4050
Practice Fax
(716) 685-2873
Enumeration Date
November 02, 2006
Last Updated
November 16, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)