OPTIVISION NPI 1699983262

NPI Information

NPI: 1699983262
Provider Name: OPTIVISION
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3662 THE PARK
CORTLAND, NY
ZIP 13045
Phone: (607) 753-7514
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OPTIVISION is an eyewear supplier in Cortland, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. OPTIVISION NPI is 1699983262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3662 THE PARK
CORTLAND, NY
ZIP 13045-324
Phone: (607) 753-7514
Fax: (607) 753-7515

The provider's authorized official is Kenneth W Mcneil .
The authorized official title is Optician,owner and has the following contact phone number (607) 753-7514.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 9/16/2009.

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	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		TUV005032	NEW YORK	No
2	156FX1800X	Technician/Technologist	Optician	4079	NEW YORK	No
3	332H00000X	Eyewear Supplier		TUV005032	NEW YORK	No
4	332H00000X	Eyewear Supplier		4079	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	54183A	MEDICARE PIN	NEW YORK
2	4815910001	MEDICARE NSC	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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