Doctor Name: | DR. ROBERT ANDREW VITITOW |
NPI Number: | 1033209192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | VUT006050 |
Business Practice Address: | 2441 Vestal Parkway East Sam's Club Vestal, NY - 138502018 |
Business Phone Number: | 6077706297 |
Business Fax Number: | 6077668592 |
Mailing Address: | 43 Davis Street, BINGHAMTON |
State: | NY |
Postal Code: | 139054239 |
Phone Number: | 6077223747 |
Fax Number: | 6077223747 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | VUT006050 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |