MRS. MICHELLE MARIA KAVANAUGH


Address: 3505 Watson Blvd, Endwell, NY 13760
Phone: 6073218333

MRS. MICHELLE MARIA KAVANAUGH (NPI# 1295231405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295231405
Entity Type Individual
Full Name MRS. MICHELLE MARIA KAVANAUGH
Credential OPHTHALMIC DISPENSER
Practice Address 3505 Watson Blvd
Endwell
NY 13760
Practice Telephone 6073218333
Mailing Telephone 6073218333
Enumeration Date 2018-04-05
Last Update Date 2018-04-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
009727 NY Eye and Vision Services Providers

Office Location

Street Address 3505 WATSON BLVD
City ENDWELL
State NY
Zip Code 13760

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649745084 Lori Ann Bullock Registered Nurse 816 Martin Street, Endicott, NY 13760 2018-10-12
1619490091 Lynda Benson Coccia Counselor 1635 Union Center Highway, Endicott, NY 13760 2017-07-18
1780038117 Maliha Suleman Family Medicine Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 2016-04-22
1851738165 Charles William Wells Clinic/Center 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 2013-05-28
1811257991 Leslie Estelle Eldridge Licensed Practical Nurse 700 W. Wendell St, Endicott, NY 13760 2012-05-22
1801176946 Janet M Dimaria Physical Therapist 712 Farm To Market Rd., Endwell, NY 13760 2011-08-21
1629398466 Elaine Eagan Mcgraw Social Worker 715 Paden St., Endicott, NY 13760 2010-06-03
1447497060 Sarah Jean Krager Early Intervention Provider Agency 317 North Roosevelt Avenue, Endicott, NY 13760 2009-01-20
1457504342 Timothy John Federowicz Chiropractor 2911 Watson Blvd., Endicott, NY 13760 2008-10-23
1962670828 Rachelle Ann Alig Pharmacist 1008 Union Center Highway, Endicott, NY 13760 2008-02-13
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992905863 Janet Ann Lisak Technician/Technologist 527 Winston Dr, Endwell, NY 13760-2427 2007-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982202628 Smart Vision Care Inc. Technician/Technologist 5107 108th St # B, Corona, NY 11368-3304 2020-10-14
1396350757 Galo Andrade II Technician/Technologist 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 2020-09-12
1962016022 Mathilde Brecy Technician/Technologist 248 Columbus Ave, New York, NY 10023-3331 2020-09-04
1417566258 Neziah Maloney Technician/Technologist 43 President St, Huntington Station, NY 11746-2345 2020-07-28
1689290199 Akeel Adil Technician/Technologist 9142 82nd St, Jamaica, NY 11421-2914 2020-06-20
1588289292 Vision Express Optix Inc Technician/Technologist 98106 Queens Blvd, Rego Park, NY 11374-4354 2020-06-09
1942821749 Frank Panzarella Technician/Technologist 364 Vermont St, Lindenhurst, NY 11757-5241 2020-05-03
1649806761 Courtney Zhang Technician/Technologist 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 2020-03-20
1023644291 Martha Canon Technician/Technologist 1440 Broadway # 10826, New York, NY 10018-2301 2020-03-19
1619500964 Raphael Optical Inc. Technician/Technologist 303 Wyckoff Ave, Brooklyn, NY 11237-5805 2020-02-14
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Competitor

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City ENDWELL
Zip Code 13760

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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