National Provider Identifier

Elviro Egisto Larocca, OPTICIAN

Elviro Egisto Larocca, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 705-0974.

NPI 1881861003Rochester, NYOptician

Profile Overview

NPI
1881861003
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
May 15, 2008
Last Updated
May 15, 2008

Practice Location

  • 379 Park Ave
  • Rochester, NY 14607-2807

Phone: (585) 705-0974

Mailing Address

  • 1 Pleasant St
  • Apt# 502
  • Rochester, NY 14604-1455

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1881861003
Entity Type
Individual
Last Name
Larocca
First Name
Elviro
Middle Name
Egisto
Name Prefix
Mr.
Credential
OPTICIAN
Mailing Street Address
1 Pleasant St
Mailing Address Line 2
Apt# 502
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604-1455
Mailing Country
US
Mailing Phone
(585) 705-0974
Practice Street Address
379 Park Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-2807
Practice Country
US
Practice Phone
(585) 705-0974
Enumeration Date
May 15, 2008
Last Updated
May 15, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)