Retina Specialist of the Finger Lakes
Organization Active NPI Ophthalmology Physician · Rochester, NY
NPI 1124012802 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124012802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 199170 (NY)
- Legal business name
- RETINA SPECIALIST OF THE FINGER LAKES
- Practice address
- 2300 Buffalo Rd
BLDG 700B
Rochester, NY 14624-1360 - Phone
- (585) 254-2260
- Fax
- (585) 254-4035
- NPI assigned
- Sep 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Shi-Hwa William Chang, MD
- Title
- President
- Phone
- (585) 254-2260
Practitioners 2
National Provider Directory
Locations
1401 Spanos Ct
Ste 130
Modesto, CA 95355
Phone (209) 525-3844
687 Lee Rd
Ste 202
Rochester, NY 14606
Phone (315) 462-5500
2300 Buffalo Rd
Bldg 700B
Rochester, NY 14624
Phone (585) 254-2260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 199170 | NY | Yes |
Addresses
Primary practice location
2300 Buffalo Rd
BLDG 700B
Rochester, NY 14624-1360
Mailing address
2300 Buffalo Rd
BLDG 700B
Rochester, NY 14624-1360
Phone (585) 254-2260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0189901590 | Other | BLUE CHOICE | |
| 02527553 | Medicaid | NY |
Other providers in Rochester, NY
- Marianne Elizabeth Resseguie
- Kimberly Ann Ressler
- Ana Resto
- Retina Associates of Western Ny PC
- Retina Services of the University of Rochester
- Valerie A Reuman
- Caroll Ann Revak
- Howard Revans Jr.
- Maydelin Reve
- Joseph Connor Reville
All providers in Rochester, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.