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

Dr. Vivian Kudgus Fasula, MD

Individual provider Ophthalmology Physician · NPI 1073570396

Dr. Vivian Kudgus Fasula, MD is an Ophthalmology Physician in Lockport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

70 Professional Pkwy
Lockport, NY 14094-5366
Phone: (716) 434-7505
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 148889 (NY)

Record details

NPI number1073570396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESMay 14, 2009

Other providers in Lockport