PAUL BULGER VISION REHABILITATION CLINIC, INC (NPI# 1730236159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730236159 |
| Entity Type | Organization |
| Organization Name | PAUL BULGER VISION REHABILITATION CLINIC, INC |
| Other Organization Name | BULGER VISION CLINIC |
| Practice Address |
1170 Main St Buffalo NY 14209-2331 |
| Practice Telephone | 7168821025 |
| Practice Fax Number | 7168825577 |
| Mailing Telephone | 7168821025 |
| Mailing Fax Number | 7168825577 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HEATHER TELFORD (ADMINISTRATOR) |
| Authorized Official Telephone | 7168821025 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bulger Vision Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PAUL BULGER VISION REHABILITATION CLINIC, INC. | 1170 Main Street, Buffalo, Ny 14209 |
| Street Address |
1170 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659343002 | James Simmons | Optometrist | 1170 Main St, Buffalo, NY 14209-2331 | 2006-02-01 |
| 1043825375 | Linda Carol Wiecek | Rehabilitation Counselor | 1170 Main St, Buffalo, NY 14209-2380 | 2020-09-14 |
| 1952859225 | Danielle Gilbert | Rehabilitation Counselor | 1170 Main St, Buffalo, NY 14209-2331 | 2016-09-15 |
| 1912370453 | Ryan Mcnerney | Rehabilitation Counselor | 1170 Main St, Buffalo, NY 14209-2331 | 2015-11-05 |
| 1285857656 | Beth Ann Devans | Nurse Practitioner | 1170 Main St, Buffalo, NY 14209-2331 | 2007-04-11 |
| 1689726952 | Jeanne Marie Binner | Social Worker | 1170 Main St, Buffalo, NY 14209-2331 | 2007-01-17 |
| 1588747109 | Elizabeth Pierce Olmsted, Md Center for The Visually Impaired | Optometrist | 1170 Main St, Buffalo, NY 14209-2331 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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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.