DR. VIVIAN KUDGUS FASULA M.D.
NPI 1073570396
Ophthalmology in Lockport, NY

Q: What is Vivian Fasula's NPI number?

The NPI number for Vivian Fasula is 1073570396. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Vivian Fasula's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Fasula was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2006

70 PROFESSIONAL PARKWAY, LOCKPORT, NY 14094(716) 434-7505 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Vivian Kudgus Fasula M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN KUDGUS FASULA M.D. (NPI 1073570396) is an individual ophthalmology provider in Lockport, New York, licensed in New York (148889) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1073570396

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. VIVIAN KUDGUS FASULACredential: M.D.

Location Address70 PROFESSIONAL PARKWAYLockport, NY 14094-5366

Mailing Address1254 Charlesgate CircleEast Amherst, NY 14051-1216 · (716) 636-0113

Phone(716) 434-7505

Sole ProprietorNo

Enumeration DateApril 28, 2006

Last NPPES UpdateMay 14, 2009

✔ NPI 1073570396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 148889

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

70 PROFESSIONAL PARKWAY, Lockport, NY 14094

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Other Identifiers 5

Medicare PINCC5341NY

Other16-1383123Federal Id

Medicare UPINB71060NY

OtherDISABILITYNY · D30278

Medicaid00824488NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES J FETTERMAN MD

Ophthalmology

70 PROFESSIONAL PARKWAY
LOCKPORT, NY 14094

Niagara County (716) 434-7505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Fasula's NPI number?

The NPI number for Vivian Fasula is 1073570396. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Vivian Fasula located?

Vivian Fasula practices at 70 Professional Parkway, Lockport, NY 14094. The listed phone number is (716) 434-7505.

What is Vivian Fasula's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Vivian Fasula was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.