National Provider Identifier
Mariateresa Ceravolo, O.D.
Mariateresa Ceravolo, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Canandaigua, NY and a listed phone number of (585) 394-2020.
Profile Overview
- NPI
- 1760471338
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- October 17, 2005
- Last Updated
- September 05, 2025
Practice Location
- 325 West St
- Canandaigua, NY 14424-1723
Phone: (585) 394-2020
Mailing Address
- 325 West St
- Canandaigua, NY 14424-1787
Specialties
- Optometrist (152W00000X)
Endpoints
- mariaceravolood@theeyecarecenter.medentdirect.com
Direct Messaging Address | Direct | Csv | Newark, NY 14513
Emr E-Mail Address For Secure Sharing Of Patient Information
Full Record
- NPI
- 1760471338
- Entity Type
- Individual
- Last Name
- Ceravolo
- First Name
- Mariateresa
- Credential
- O.D.
- Provider Other Last Name
- Ceravolo
- Provider Other First Name
- Mariateresa
- Provider Other Credential Text
- OD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 325 West St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1787
- Mailing Country
- US
- Mailing Phone
- (585) 394-2020
- Mailing Fax
- (585) 394-9261
- Practice Street Address
- 325 West St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1723
- Practice Country
- US
- Practice Phone
- (585) 394-2020
- Practice Fax
- (585) 394-9261
- Enumeration Date
- October 17, 2005
- Last Updated
- September 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 02708047 (NY)