Provider Demographics
NPI:1316948714
Name:VILARDO, MICHAEL L (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:VILARDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 N FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2178
Mailing Address - Country:US
Mailing Address - Phone:716-688-0996
Mailing Address - Fax:716-896-2318
Practice Address - Street 1:4800 N FRENCH RD
Practice Address - Street 2:SUITE 4
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2178
Practice Address - Country:US
Practice Address - Phone:716-688-0996
Practice Address - Fax:716-688-0997
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1896491207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000524733003OtherCHOICE BLUE II
470901436OtherAETNA US HEALTHCARE
470901436OtherAMERICAN PROGRESSIVE
000524733003OtherCOMMUNITY BLUE FIFTEEN
470901436OtherFIRST HEALTH NETWORK
15792OtherSPECTERA
470901436OtherTRICARE INSURANCE
633OtherDAVIS VISION
P00085287OtherMEDICARE TRAVELERS
470901436OtherNOVA HEALTHCARE
00026064505OtherUNIVERA
000524733003OtherBLUE CROSS/BLUE SHIELD
0809012OtherIHA TEN
470901436OtherAARP
470901436OtherUNITED AMERICAN INS
470901436OtherCOLE VISION
0809012OtherINDEPENDENT HEALTH
470901436OtherCIGNA HEALTH CARE
P00085287OtherMEDICARE TRAVELERS
000524733003OtherCOMMUNITY BLUE FIFTEEN