National Provider Identifier
Charles M Sangeorge II, O.D.
Charles M Sangeorge II, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Hamburg, NY and a listed phone number of (716) 646-0564.
Profile Overview
- NPI
- 1750387353
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 28, 2005
- Last Updated
- January 11, 2008
Practice Location
- 4255 McKinley Pkwy
- Inside Wal-Mart Vision Center
- Hamburg, NY 14075-1005
Phone: (716) 646-0564
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1750387353
- Entity Type
- Individual
- Last Name
- Sangeorge
- First Name
- Charles
- Middle Name
- M
- Name Prefix
- Dr.
- Name Suffix
- II
- Credential
- O.D.
- Mailing Street Address
- 4255 McKinley Pkwy
- Mailing Address Line 2
- Inside Wal-Mart Vision Center
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-1005
- Mailing Country
- US
- Mailing Phone
- (716) 646-0564
- Mailing Fax
- (716) 646-0571
- Practice Street Address
- 4255 McKinley Pkwy
- Practice Address Line 2
- Inside Wal-Mart Vision Center
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-1005
- Practice Country
- US
- Practice Phone
- (716) 646-0564
- Practice Fax
- (716) 646-0571
- Enumeration Date
- June 28, 2005
- Last Updated
- January 11, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 919920 (NY, Block Vision), 000390184002 (NY, Community Blue), NY3441 (NY, Eyemed), 50527 (NY, Davis Vision), 000390184004 (NY, Community Blue), 17207 (NY, Spectera), 141345 (NY, Cole Managed Vision), 988665 (NY, Highmark Bc & Bs)