| NPI | 1386827038 |
|---|---|
| Other Name | LAKEVIEW EYECARE |
| Entity Type | Organization |
| Authorized Contact | SHANON A BALLARD Billing Mgr 585-458-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 160134) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T0006558) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 160134) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-05-11 |