Theodore Peter Fortuna
Ophthalmic
113 Main St Ste 2
Batavia
, New York 14020
Theodore Peter Fortuna
Ophthalmic
113 Main St Ste 2
Batavia
, New York 14020
(585) 344-1345
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Theodore Peter Fortuna
- 113 Main St Ste 2
- Batavia, NY
- Zip : 14020
- Phone : (585) 344-1345
Second Address
- Theodore Peter Fortuna
- 113 Main St Ste 2
- Batavia, NY
- Zip : 14020
- Phone : (585) 344-1345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | 5041 | NY |
National Provider Identifier
| NPI | 1649220013 |
|---|---|
| Provider Name | Theodore Peter Fortuna |
| First Address | Batavia, NY 14020 |
| Second Address | Batavia, NY 14020 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.