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OPTIVISION OF ITHACA INC. NPI 1730255951


NPI Information

NPI: 1730255951
Provider Name: OPTIVISION OF ITHACA INC.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
106 E STATE ST
ITHACA, NY
ZIP 14850
Phone: (607) 272-7441
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OPTIVISION OF ITHACA INC. is an optician technician technologist in Ithaca, NY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. OPTIVISION OF ITHACA INC. NPI is 1730255951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 E STATE ST
ITHACA, NY
ZIP 14850-542
Phone: (607) 272-7441

The provider's authorized official is Dana Scott Potenza .
The authorized official title is President and has the following contact phone number (607) 272-7441.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 6/10/2008.


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
1156FX1800XTechnician/TechnologistOptician004683-1NEW YORKYes

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
11071240001MEDICARE NSCNEW 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

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