MR. ALLAN MICHAEL KIESWETTER (NPI# 1336316124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316124 |
| Entity Type | Individual |
| Full Name | MR. ALLAN MICHAEL KIESWETTER |
| Credential | OPTICIAN |
| Practice Address |
55 Main St Massena NY 13662-1913 |
| Practice Telephone | 3157695881 |
| Mailing Telephone | 3157695881 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
3272 | NY | Eye and Vision Services Providers |
| Street Address |
55 MAIN ST |
| City | MASSENA |
| State | NY |
| Zip Code | 13662-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114174968 | Massena Optics, Inc. | Eyewear Supplier (Equipment, not the service) | 55 Main St, Massena, NY 13662-1913 | 2008-08-23 |
| 1568538957 | Stephen D Smith | Optometrist | 55 Main St, Massena Optics, Massena, NY 13662 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796380 | Emily Lashomb | Physical Medicine & Rehabilitation | Mmh Outpatient Center/pt, 271 Andrews St, Suite 269, Massena, NY 13662 | 2019-12-10 |
| 1689059727 | Cassandra Lynn Lashomb | Physician Assistant | St Lawrence University, 23 Romoda Drive, Canton, NY 13662 | 2015-07-29 |
| 1497163885 | Ryan Normal Degon | Specialist/Technologist | Park Avenue East, Work-fit At Alcoa Massena Operations, Massena, NY 13662 | 2014-07-29 |
| 1821419839 | Beverly Elaine Eastwood | Registered Nurse | 25 Owl Avenue, Madison Elementary School, Massena, NY 13662 | 2013-12-17 |
| 1083969117 | David Disalvo | Physical Therapist | Mh Outpatient Ctr/physical Therapy, 271 Andrews St, Suite 269, Massena, NY 13662 | 2012-07-15 |
| 1710205935 | Robin G Taylor | Counselor | 221 Harrowgate Commons, Massena, NY 13662 | 2010-05-12 |
| 1821291295 | Amanda Leigh Allen | Pharmacist | 303 Main St., Massena, NY 13662 | 2007-06-06 |
| 1255450664 | Cheryll A Terrance | Counselor | 27 Brighton St, Massena, NY 13662 | 2007-03-28 |
| 1033238704 | Richard C Summermatter | Obstetrics & Gynecology | North Country Women's Health, 15 Hospital Dr, Massena, NY 13662 | 2007-03-27 |
| 1356480610 | Joan Sharon Delarm | Social Worker | 74 Andrews St, Massena, NY 13662 | 2007-02-05 |
| Find all providers in zip 13662 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811139843 | Sheila Marie Hawes | Technician/Technologist | 159 Maple St, Massena, NY 13662-1052 | 2009-04-06 |
| 1487281366 | Anne Loomis | Technician/Technologist | 351 E Orvis St, Massena, NY 13662-4232 | 2020-03-23 |
| 1992041628 | Richard Calvin Vangorden | Technician/Technologist | 48 Main St, Massena, NY 13662-1984 | 2012-12-28 |
| 1912043761 | Carmen Burley | Technician/Technologist | 48 Main St, Massena, NY 13662-1984 | 2007-01-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.