GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1073936662

NPI Information

NPI: 1073936662
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCIATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
ZIP 14623
Phone: (585) 338-1200
Get Directions

GENESEE VALLEY GROUP HEALTH ASSOCIATION is an eyewear supplier in Rochester, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1073936662. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
ZIP 14623-532
Phone: (585) 338-1200

The provider's authorized official is Deborah Carlascio .
The authorized official title is Vice President Of Operations and has the following contact phone number (585) 389-6066.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 2/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	17513A	MEDICARE UPIN	NEW YORK
2	00355266	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »