Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARIE DIANE FORMAN, LDO
Active Sole ProprietorMS. MARIE DIANE FORMAN, LDO is a Optician, Dispensing healthcare provider located in GENESEO, New York. NPI 1740035294 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · GENESEO, NY
Registration Details
- NPI Number
- 1740035294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2024 (2.5292276848124 yrs)
- Last Updated
- Apr 18, 2024
- License
-
01035-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4235 VETERAN DRGENESEO, NY, 144549442Browse NY providers · Browse ZIP 14454
- Phone
- 5852434004
- Fax
- 5852434009
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in GENESEO, NY
| Name | Credential | NPI |
|---|---|---|
| BROOKE COBURN | — | 1962391276 |
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.