Genovese, Lisa Marie

Genovese, Lisa Marie is an individual health care provider with primary practice located at 2825 Niagara Falls Blvd Ste 130, Amherst NY 14228-2021. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Genovese, Lisa Marie can be contacted via phone (716) 564-2020.

Contact Information

Primary practice address
2825 Niagara Falls Blvd Ste 130 Amherst NY 14228-2021
Phone: (716) 564-2020
Fax: (716) 564-2060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV006562-1 New York

Profile Details

NPI number 1487659553
LBN Legal business name Genovese, Lisa Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487659553 NPPES
Other 7290258 INDEPENDENT HEALTH
Other 000390208003 INDEPENDENT HEALTH
MEDICAID 02443465 INDEPENDENT HEALTH
Other 251744484 INDEPENDENT HEALTH
Other 251744484 INDEPENDENT HEALTH
Other 161578122 INDEPENDENT HEALTH
Other 251744484 INDEPENDENT HEALTH
Other P00412826 INDEPENDENT HEALTH
Other 000390208004 INDEPENDENT HEALTH
Other 161578122 INDEPENDENT HEALTH

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