Vanessa J. Azzoto, OPTICIAN
Individual provider Active NPI Optician · Cicero, NY
NPI 1023045911 · NPPES record last updated Oct 16, 2009
Key facts
- NPI
- 1023045911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 008383-1 (NY)
- Practice address
- 7903 Brewerton Rd
West Marine Plaza
Cicero, NY 13039-9531 - Phone
- (315) 699-1700
- Fax
- (315) 699-1707
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008383-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leener Corp. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008383-1 | NY | Yes |
Addresses
Primary practice location
7903 Brewerton Rd
West Marine Plaza
Cicero, NY 13039-9531
Mailing address
8811 Wedgefield LN
Cicero, NY 13039-9775
Phone (315) 698-0576
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.