Kathleen Margaret Oshea, O.D.
Individual provider Active NPI Optometrist · Corfu, NY
NPI 1669433579 · NPPES record last updated Dec 30, 2010
Key facts
- NPI
- 1669433579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV005163 (NY)
- Practice address
- 9233 S Lake Rd
Corfu, NY 14036-9581 - Phone
- (716) 597-4103
- Fax
- (888) 203-2402
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005163 | NY | Yes |
Addresses
Primary practice location
9233 S Lake Rd
Corfu, NY 14036-9581
Mailing address
9233 S Lake Rd
Corfu, NY 14036-9581
Phone (585) 599-3966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01610104 | Medicaid | NY |
Other providers in Corfu, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2010. 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.