National Provider Identifier

Christopher Michael Needham, OD

Christopher Michael Needham, OD is listed in the NPPES registry with a primary specialty of Optometrist in East Aurora, NY and a listed phone number of (716) 655-3225.

NPI 1942720628East Aurora, NYOptometrist

Profile Overview

NPI
1942720628
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
June 22, 2017
Last Updated
November 23, 2021

Practice Location

  • 323 Main St
  • East Aurora, NY 14052-1636

Phone: (716) 655-3225

Mailing Address

  • 6 Old Mill Run
  • Depew, NY 14043-5008

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1942720628
Entity Type
Individual
Last Name
Needham
First Name
Christopher
Middle Name
Michael
Name Prefix
Dr.
Credential
OD
Mailing Street Address
6 Old Mill Run
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-5008
Mailing Country
US
Mailing Phone
(716) 668-4177
Practice Street Address
323 Main St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1636
Practice Country
US
Practice Phone
(716) 655-3225
Practice Fax
(716) 655-5280
Enumeration Date
June 22, 2017
Last Updated
November 23, 2021
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
November 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)