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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY ANN GANSER, LDO

Active Sole Proprietor

KELLY ANN GANSER, LDO is a Optician, Dispensing healthcare provider located in CICERO, New York. NPI 1689493025 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · CICERO, NY

Registration Details

NPI Number
1689493025
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2024 (1.8222124294449 yrs)
Last Updated
Oct 3, 2024
License
008861 (NY)
Sole Proprietor
Yes

Practice Information

Address
8064 BREWERTON RD
CICERO, NY, 130399621
Browse NY providers · Browse ZIP 13039
Phone
3156980473
Fax
3156980498
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in CICERO, NY

Name Credential NPI
MS. VANESSA J. AZZOTO OPTICIAN 1023045911
ELIZABETH AZZOTO 1346638442
MR. DAVID EARL WARE II OPTICIAN 1972019537
STEPHANIE LYONS 1407674849
TRACEY RHINEHART 1144048786
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.