OLESSIA XENIA BUTENKO (NPI# 1619190493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619190493 |
| Entity Type | Individual |
| Full Name | OLESSIA XENIA BUTENKO |
| Credential | OD |
| Practice Address |
3018 East Ave Inside Walmart Vision Center Central Square NY 13036-2713 |
| Mailing Address |
131 Temple St Owego NY 13827-1420 |
| Practice Telephone | 3156680422 |
| Practice Fax Number | 3156680424 |
| Mailing Telephone | 6077609275 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV006228 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SUPERIOR | 27761 | 01 |
| NY | MVP | 366116 | 01 |
| NY | BCBS | 000125424 | 01 |
| Street Address |
3018 EAST AVE INSIDE WALMART VISION CENTER |
| City | CENTRAL SQUARE |
| State | NY |
| Zip Code | 13036-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316964489 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3018 East Ave, Central Square, NY 13036-2713 | 2006-07-16 |
| 1871101576 | Vista Eyecare, LLC | Clinic/Center | 3018 East Ave, Central Square, NY 13036-2713 | 2020-07-20 |
| 1952817629 | Marie S Karboski | Technician/Technologist | 3018 East Ave, Central Square, NY 13036-2713 | 2017-12-18 |
| 1164605176 | Jason Todd Trombley | Pharmacist | 3018 East Ave, Central Square, NY 13036-2615 | 2007-12-12 |
| 1578671277 | Wal-mart Stores East, Lp | Technician/Technologist | 3018 East Ave, Central Square, NY 13036-2615 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780101220 | Tamara Lynn Keys | Licensed Practical Nurse | 344 Hickory Lane, Central Square, NY 13036 | 2017-08-25 |
| 1750756169 | Whitney Lorena Hyde | Registered Nurse | 1292 County Route 11, Central Square, NY 13036 | 2015-12-10 |
| 1083097919 | Podiatry Services of Central New York, PC | Podiatrist | 2187 County Rte. 12, Central Square, NY 13036 | 2015-07-09 |
| 1427378371 | Kathleen Rose Schad | Licensed Practical Nurse | 106 Michael's Way, Central Square, NY 13036 | 2010-06-02 |
| 1518299718 | Lorie Giamartino | Pharmacist | 537 South Main Street, Central Square, NY 13036 | 2010-02-12 |
| 1255569646 | Allison Amy Bronner | Physical Therapist | 124 U.S. Route 11, Central Square, NY 13036 | 2009-06-24 |
| 1467645309 | Jo Anne Tryon | Licensed Practical Nurse | 12 Rust Memorial, Central Square, NY 13036 | 2007-08-23 |
| 1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
| 1356326649 | Richard A Frio | Optometrist | 3248 Fulton Ave, Central Square, NY 13036 | 2005-12-09 |
| 1851896567 | Central Square Smiles Dentistry | Dentist | 653 S Main St, Central Square, NY 13036 | 2018-03-26 |
| Find all providers in zip 13036 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356326649 | Richard A Frio | Optometrist | 3248 Fulton Ave, Central Square, NY 13036 | 2005-12-09 |
| 1619443058 | Bridget A Frio Od PC | Optometrist | 3248 Fulton Ave, Central Square, NY 13036-2417 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1134727860 | Paras Patel | Optometrist | 891 Route 9 Ste 700, Queensbury, NY 12804-1796 | 2020-10-14 |
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1538772157 | Wilzen Anne Lingad O.d., Pllc | Optometrist | 4117 Crescent St, Long Island City, NY 11101-3861 | 2020-08-24 |
| 1760095384 | Mk Vision Center I, Inc | Optometrist | 7010 Austin St Ste 2, Forest Hills, NY 11375-4763 | 2020-08-24 |
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1154930881 | Safeera Zafar Bhutta | Optometrist | 36 Lexington Ave, Malverne, NY 11565-2316 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL SQUARE |
| Zip Code | 13036 |
Please comment or provide details below to improve the information on OLESSIA XENIA BUTENKO.
| 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.