National Provider Identifier
Idel M Burgos, OPTICIAN
Idel M Burgos, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Williamsville, NY and a listed phone number of (716) 220-7700.
Profile Overview
- NPI
- 1932725603
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- June 18, 2020
- Last Updated
- June 18, 2020
Practice Location
- 8124 Transit RD
- Williamsville, NY 14221-2806
Phone: (716) 220-7700
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1932725603
- Entity Type
- Individual
- Last Name
- Burgos
- First Name
- Idel
- Middle Name
- M
- Credential
- OPTICIAN
- Mailing Street Address
- 8124 Transit RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2806
- Mailing Country
- US
- Mailing Phone
- (716) 220-7700
- Practice Street Address
- 8124 Transit RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2806
- Practice Country
- US
- Practice Phone
- (716) 220-7700
- Enumeration Date
- June 18, 2020
- Last Updated
- June 18, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)