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Mrs. Amy B Internicola, LICENSEDOPTICIAN
Contact Lens Fitter in Tonawanda, New York
NPI 1700099785

Amy B Internicola is a Contact Lens Fitter based in Tonawanda, NY and is specialized in Contact Lens Fitter. Amy B Internicola practices in Tonawanda, NY and has the professional credentials of LICENSEDOPTICIAN. The NPI Number for Amy B Internicola is 1700099785 and holds a License No. C005694-1 (New York).

The current practice location address for Amy B Internicola is 2441 Sheridan Dr, Tonawanda, NY and can be reached out via phone at 716-836-8700 and via fax at 716-836-3549. You can also correspond with Amy B Internicola through the mailing address at 2441 SHERIDAN DR, TONAWANDA, NY - 14150-9405 (mailing address contact number: 716-836-8700).

Location: 2441 Sheridan Dr, Tonawanda, NY, 14150-9405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700099785
Provider Name
Amy B Internicola
Credential
LICENSEDOPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
2441 Sheridan Dr, Tonawanda, NY, 14150-9405
Phone Number
716-836-8700
Fax Number
716-836-3549
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C005694-1 01 NY LICENSED OPTICIAN
institution
Provider Business Practice Location Address Details
Address
2441 Sheridan Dr
City
Tonawanda
State
New York
Zip
14150-9405
Phone Number
716-836-8700
Fax Number
716-836-3549
person
Provider Business Mailing Address Details
Address
2441 Sheridan Dr
City
Tonawanda
State
New York
Zip
14150-9405
Phone Number
716-836-8700
Fax Number
716-836-3549
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
C005694-1 (New York)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
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