National Provider Identifier

David R Mazur, OD

David R Mazur, OD is listed in the NPPES registry with a primary specialty of Optometrist in Lockport, NY and a listed phone number of (716) 434-7773.

NPI 1801942362Lockport, NYOptometrist

Profile Overview

NPI
1801942362
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
January 26, 2007
Last Updated
July 08, 2007

Practice Location

  • 500 Davison RD
  • Lockport, NY 14094

Phone: (716) 434-7773

Mailing Address

  • 36 Grove Ave
  • Lockport, NY 14094

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1801942362
Entity Type
Individual
Last Name
Mazur
First Name
David
Middle Name
R
Name Prefix
Dr.
Credential
OD
Mailing Street Address
36 Grove Ave
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094
Mailing Country
US
Mailing Phone
(716) 434-5281
Practice Street Address
500 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094
Practice Country
US
Practice Phone
(716) 434-7773
Enumeration Date
January 26, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)