PENN YAN OPTOMETRY PC NPI 1275600496

NPI Information

NPI: 1275600496
Provider Name: PENN YAN OPTOMETRY PC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
:
Address: 163 MAIN ST
PENN YAN, NY
ZIP 14527
Phone: (315) 536-9941

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NPI Details

PENN YAN OPTOMETRY PC is an eyewear supplier in Penn Yan, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PENN YAN OPTOMETRY PC NPI is 1275600496. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

163 MAIN ST
PENN YAN, NY
ZIP 14527-284
Phone: (315) 536-9941
Fax: (315) 536-9321

The provider's authorized official is Andrew Paul Smith .
The authorized official title is Optometrist and has the following contact phone number (315) 536-9941.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	302F00000X	Exclusive Provider Organization	TUV005146-J	NEW YORK	No
2	152W00000X	Optometrist	TUV005146-J	NEW YORK	No
3	332H00000X	Eyewear Supplier	TUV005146-J	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101985CS	OTHER	NEW YORK	PREFERRED CARE
2	135462CT	OTHER	NEW YORK	PREFERRED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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