National Provider Identifier

Charles San George

Charles San George is listed in the NPPES registry with a primary specialty of Optician in Buffalo, NY and a listed phone number of (716) 874-4600.

NPI 1932697646Buffalo, NYOptician

Profile Overview

NPI
1932697646
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
April 27, 2018
Last Updated
April 27, 2018

Practice Location

  • 1754 Sheridan Dr
  • Buffalo, NY 14223-1212

Phone: (716) 874-4600

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1932697646
Entity Type
Individual
Last Name
San George
First Name
Charles
Mailing Street Address
1754 Sheridan Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-1212
Mailing Country
US
Mailing Phone
(716) 874-4600
Practice Street Address
1754 Sheridan Dr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14223-1212
Practice Country
US
Practice Phone
(716) 874-4600
Enumeration Date
April 27, 2018
Last Updated
April 27, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
NY3441 (NY, Eyemed)