Dr Vivian Kudgus Fasula, MD in Lockport, NY

Dr Vivian Kudgus Fasula, MD is a Ophthalmology physician based in Lockport, New York. Dr Vivian Kudgus Fasula is licensed to practice in New York (license number 148889) and her current practice location is 70 Professional Parkway, Lockport, New York. She can be reached at her office (for appointments etc.) via phone at (716) 434-7505.

NPI number for Dr Vivian Kudgus Fasula is 1073570396 and her current mailing address is 1254 Charlesgate Circle, East Amherst, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073570396.

Contact Information

	Dr Vivian Kudgus Fasula, MD
	70 Professional Parkway, Lockport, NY 14094-5366
	(716) 434-7505
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vivian Kudgus Fasula
Gender	Female
Speciality	Ophthalmology
Location	70 Professional Parkway, Lockport, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1073570396
Provider Enumeration Date: 04/28/2006
Last Update Date: 05/14/2009

Medical Identifiers

Medical identifiers for Dr Vivian Kudgus Fasula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073570396	NPI	-	NPPES
00824488	Medicaid	NY
DISABILITY	Other	NY	D30278
16-1383123	Other		FEDERAL ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	148889 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vivian Kudgus Fasula is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Vivian Kudgus Fasula, MD 1254 Charlesgate Circle, East Amherst, NY 14051-1216 Ph: (716) 636-0113	Dr Vivian Kudgus Fasula, MD 70 Professional Parkway, Lockport, NY 14094-5366 Ph: (716) 434-7505

Reviews and Comments

Ophthalmology Doctors in Lockport, NY

John W Crofts, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 23 Elizabeth Dr, Lockport, NY 14094 Phone: 585-343-8100
Andrea M Buccilli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 70 Professional Pkwy, Lockport, NY 14094 Phone: 716-434-7505 Fax: 716-439-9084
Charles J Fetterman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 70 Professional Parkway, Lockport, NY 14094 Phone: 716-434-7505 Fax: 716-439-9084

Dr Vivian Kudgus Fasula, MD - Ophthalmology in Lockport, NY