IndividualActive
Amy Internicola, LICENSED OPTICIAN
NPI 1700099785 · Contact Lens Fitter · Tonawanda, NY
Provider details
- NPI number
- 1700099785
- Entity type
- Individual
- Primary specialty
- Contact Lens FitterEye and Vision Services Providers
- Credential
- LICENSED OPTICIAN
- Sex
- Female
- Sole proprietor
- No
- License
- C005694-1 (NY)
Practice location
2441 Sheridan Dr
Tonawanda, NY 14150-9405
Phone: (716) 836-8700
Fax: (716) 836-3549
Mailing address
2441 Sheridan Dr
Tonawanda, NY 14150-9405
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.