Brockport Optometry, PC

Organization Active NPI Eyewear Supplier · Brockport, NY

NPI 1437352192 · NPPES record last updated Mar 17, 2008

Key facts

NPI
1437352192
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
BROCKPORT OPTOMETRY, PC
Practice address
22 N Main St
Lower Suite
Brockport, NY 14420-1614
Phone
(585) 637-2121
Fax
(585) 637-7722
NPI assigned
Jun 8, 2007
Organization subpart
No

Authorized official

Name
Dr. Michael Lee Raff, OD
Title
Optometrist
Phone
(585) 637-2121

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

22 N Main St
Lower Suite
Brockport, NY 14420-1614

Mailing address

38 Farm Field LN
Pittsford, NY 14534-2865
Phone (585) 248-2141

Other providers in Brockport, NY

All providers in Brockport, NY · Eyewear Supplier in New York

Sources for this page

Verify at the official NPI Registry.