National Provider Identifier

Palak Butala, O.D.

Palak Butala, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Tonawanda, NY and a listed phone number of (716) 262-9297.

NPI 1730563305Tonawanda, NYOptometrist

Profile Overview

NPI
1730563305
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
July 14, 2015
Last Updated
April 19, 2016

Practice Location

  • 2965 Sheridan Dr
  • Tonawanda, NY 14150-9418

Phone: (716) 262-9297

Mailing Address

  • 3095 Harlem RD
  • Cheektowaga, NY 14225-2500

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1730563305
Entity Type
Individual
Last Name
Butala
First Name
Palak
Credential
O.D.
Mailing Street Address
3095 Harlem RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2500
Mailing Country
US
Mailing Phone
(716) 896-8831
Mailing Fax
(716) 896-2318
Practice Street Address
2965 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9418
Practice Country
US
Practice Phone
(716) 262-9297
Enumeration Date
July 14, 2015
Last Updated
April 19, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
TUV008339 (NY, New York State License Number)