Abvi-goodwill | |
422 Clinton Ave S, Rochester, NY 14620-1103 | |
(585) 232-1111 | |
(585) 232-2972 |
Full Name | Abvi-goodwill |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 422 Clinton Ave S, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053397273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Provider Name | Kevin B Wynne |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598752784 PECOS PAC ID: 6608773239 Enrollment ID: I20031212000733 |
Provider Name | Paul J Caito |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699737965 PECOS PAC ID: 7416924220 Enrollment ID: I20040913000226 |
Provider Name | Katherine G White |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184651754 PECOS PAC ID: 4385611144 Enrollment ID: I20040913000550 |
Provider Name | Allison M Ford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437254331 PECOS PAC ID: 2860542958 Enrollment ID: I20090611000295 |
Provider Name | Melanie A Shearer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831328897 PECOS PAC ID: 9032263629 Enrollment ID: I20090817000442 |
Provider Name | Kimberly R Rosati |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609126994 PECOS PAC ID: 5890929848 Enrollment ID: I20131008000075 |
Provider Name | Marycarol Graby |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972944668 PECOS PAC ID: 4880812098 Enrollment ID: I20140902000130 |
Provider Name | Jennifer L Krech |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275066144 PECOS PAC ID: 8123372141 Enrollment ID: I20181109002428 |
Mailing Address | Practice Location Address |
---|---|
Abvi-goodwill 422 Clinton Ave S, Rochester, NY 14620-1103 Ph: (585) 232-1111 | Abvi-goodwill 422 Clinton Ave S, Rochester, NY 14620-1103 Ph: (585) 232-1111 |