THEODORE P PRAWAK M.D. NPI 1144334053

NPI Information

NPI: 1144334053
Provider Name: THEODORE P PRAWAK, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address: 1320 WALDEN AVE
BUFFALO, NY
ZIP 14211
Phone: (716) 891-9444

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NPI Details

Theodore P Prawak, M.D. is an ophthalmology in Buffalo, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Theodore P Prawak, M.D. NPI is 1144334053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1320 WALDEN AVE
BUFFALO, NY
ZIP 14211-822
Phone: (716) 891-9444
Fax: (716) 891-9445

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.

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	207W00000X	Ophthalmology		108780	NEW YORK	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	TP034781	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	000503478601	OTHER	NEW YORK	BLUE CROSS OF WNY
3	0803974	OTHER	NEW YORK	INDEPENDENT HEALTH
4	B35827	MEDICARE UPIN
5	00582852	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: 11/21/2025

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