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

Andrea M Buccilli, MD

Individual provider Ophthalmology Physician · NPI 1770724635

Andrea M Buccilli, MD is an Ophthalmology in Lockport, New York. Qualified in 2005, 21 years ago. Practices with Charles J Fetterman MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

70 Professional Pkwy
Lockport, NY 14094-5366
Phone: (716) 434-7505
Fax: (716) 439-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 2517621 (NY)

Record details

NPI number1770724635
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2009
Last updated in NPPESOctober 18, 2010
Mailing address70 Professional Pkwy, Lockport, NY 14094-5366

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Charles J Fetterman Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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