Dr. Vivian Kudgus Fasula is a Lockport, New York based female Ophthalmologist who is specialized in Ophthalmology. Active license number of Dr. Vivian Kudgus Fasula is 148889 for Ophthalmology in New York. Dr. Vivian Kudgus Fasula is 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, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Vivian Kudgus Fasula speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Gender:
Female
Practice Address:
70 Professional Parkway, Lockport, New York, 14094-5366
Phone:
716-434-7505
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073570396
NPI Enumeration Date:
28 Apr, 2006
NPI Last Update On:
14 May, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Vivian Kudgus Fasula are as mentioned below.
License Number
Specialization
State
Status
148889
Ophthalmology
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Vivian Kudgus Fasula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00824488
Medicaid
New York
DISABILITY
Other
New York
D30278
16-1383123
Other
FEDERAL ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1254 Charlesgate Circle, East Amherst, New York
Zip:
14051-1216
Phone Number:
716-636-0113
Fax Number:
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Patients can reach Dr. Vivian Kudgus Fasula at 70 Professional Parkway, Lockport, New York or can call to book an appointment on 716-434-7505. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.