East Avenue Vision Center
NPI #1912290123 in Lockport, New York
Provider Information
- NPI Number
- 1912290123
- Entity Type
- Organization
- Organization Name
- East Avenue Vision Center
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- May 20, 2011
- Last Updated
- May 20, 2011
Practice Location
Authorized Official
- Name
- KIM HESCHKE
- Title
- OFFICE
- Phone
- (716) 434-2874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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