Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | OPC4642 | FL |
Y | 152W00000X | Optometrist | TUV007822 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV007822 | NY |
N | 152WP0200X | Pediatric Optomitrist | TUV007822 | NY |
N | 152WS0006X | Sports Vision | TUV007822 | NY |
N | 152WV0400X | Optomitrist - Vision Therapist | TUV007822 | NY |
NPI | 1205119120 |
---|---|
Provider Name | Dr. Vadim Guy |
First Address | Rochester, NY 14623-3139 |
Second Address | Rochester, NY 14623-3139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 22/05/2013 |