DR. SANDRA L SEGERSON (NPI# 1609182104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609182104 |
| Entity Type | Individual |
| Full Name | DR. SANDRA L SEGERSON |
| Credential | OD |
| Practice Address |
924 Kenmore Ave Buffalo NY 14216-1451 |
| Practice Telephone | 7168762020 |
| Practice Fax Number | 7168763261 |
| Mailing Telephone | 7168762020 |
| Mailing Fax Number | 7168763261 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV007634-1 | NY | Eye and Vision Services Providers |
| Street Address |
924 KENMORE AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935994 | David Alan Burstein | Optometrist | 924 Kenmore Ave, Buffalo, NY 14216-1451 | 2005-07-07 |
| 1497943096 | Kenmore Eyecare Inc. | Optometrist | 924 Kenmore Ave, Buffalo, NY 14216-1451 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898824 | National Vision Inc | Optometrist | 2143 Delaware Ave, Buffalo, NY 14216-3201 | 2019-05-30 |
| 1588077473 | David Turner | Optometrist | 94 14th St Ne, Suite 3, Buffalo, MN 55313-1932 | 2014-06-09 |
| 1902242423 | Angelo Anthony Biondi | Optometrist | 1130 Colvin Blvd, Buffalo, NY 14223-1905 | 2013-05-13 |
| 1295094761 | Daniel & Max, LLC | Optometrist | 4405 Milestrip Rd Ste 5a, Buffalo, NY 14219-2000 | 2012-05-03 |
| 1023390499 | Joseph Jerome Allen | Optometrist | 103 Center Dr Ste 100, Buffalo, MN 55313-2958 | 2011-09-12 |
| 1609020148 | Eye Care Professionals of Wny | Optometrist | 2290 Main St, Buffalo, NY 14214-2350 | 2008-11-11 |
| 1174700793 | 20 20 Optical of Bflo Inc | Optometrist | 324 West Ferry Street, Buffalo, NY 14213-1957 | 2008-01-25 |
| 1144420142 | Shannon Lyn Schug | Optometrist | 945 Broadway St, Buffalo, NY 14212-1218 | 2007-07-19 |
| 1225186406 | Brian A Battaglia | Optometrist | 124 Irving Ter, Buffalo, NY 14223-2742 | 2007-01-06 |
| 1295800274 | Steven Isaac Bench | Optometrist | 324 W Ferry St, Buffalo, NY 14213-1957 | 2006-11-22 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.