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: | -- |
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 13 May, 2024.