National Provider Identifier
Tina Sue Vizzi, OPTICIAN
Tina Sue Vizzi, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Lewiston, NY and a listed phone number of (716) 754-2555.
Profile Overview
- NPI
- 1821118324
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- March 29, 2007
- Last Updated
- July 08, 2007
Practice Location
- 900 Center St
- Lewiston, NY 14092-1737
Phone: (716) 754-2555
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1821118324
- Entity Type
- Individual
- Last Name
- Vizzi
- First Name
- Tina
- Middle Name
- Sue
- Name Prefix
- Mrs.
- Credential
- OPTICIAN
- Provider Other Last Name
- Komm
- Provider Other First Name
- Richard
- Provider Other Middle Name
- Barry
- Provider Other Name Prefix Text
- Mr.
- Provider Other Credential Text
- OPTICIAN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 900 Center St
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1737
- Mailing Country
- US
- Mailing Phone
- (716) 754-2555
- Mailing Fax
- (716) 754-8650
- Practice Street Address
- 900 Center St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1737
- Practice Country
- US
- Practice Phone
- (716) 754-2555
- Practice Fax
- (716) 754-8650
- Enumeration Date
- March 29, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)