Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Developmental Optometrist PC

Organization Optometrist · NPI 1861885451

Developmental Optometrist PC is an Optometrist in Kenmore, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

978 Colvin Blvd
Kenmore, NY 14217-2128
Phone: (716) 871-0074
Fax: (716) 878-8973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV004506 (NY)

Record details

NPI number1861885451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Gordon — Owner · (716) 871-0074
NPI enumeratedMarch 6, 2015
Last updated in NPPESMay 27, 2015
Mailing address978 Colvin Blvd, Kenmore, NY 14217-2128

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