DAVISON ROAD OPTICAL INC (NPI# 1669599247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669599247 |
Entity Type | Organization |
Organization Name | DAVISON ROAD OPTICAL INC |
Other Organization Name | NEWFANE FAMILY EYECARE |
Practice Address |
2731 Main St Newfane NY 14108-1203 |
Practice Telephone | 7167780926 |
Practice Fax Number | 7167780926 |
Mailing Telephone | 7167780926 |
Mailing Fax Number | 7167780926 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2011-08-16 |
Authorized Official Name | MRS. GENEVIEVE L. SNYDER (ADMINISTRATOR) |
Authorized Official Telephone | 7164348063 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | UNIVERA PIN # | 1071 | 01 |
NY | PREFFERED CARE | 145817C | 01 |
NY | BC-BS | 000300233002 | 01 |
NY | INDEPENDENT HEALTH RX # | OS0044759 | 01 |
NY | NVA | 330868 | 01 |
NY | AETNA GROUP # | 0005901355 | 01 |
NY | COLE | 149010 | 01 |
NY | EYEMED LOCATION # | NY3149 | 01 |
Other Name | Type Code |
---|---|
NEWFANE FAMILY EYECARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821113911 | Davison Road Optical Inc | Eyewear Supplier (Equipment, not the service) | 500 Davison Road, Lockport, NY 14094 | 2007-03-20 |
Street Address |
2731 MAIN ST |
City | NEWFANE |
State | NY |
Zip Code | 14108-1203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508989211 | Davison Road Optical, Inc. | Optometrist | 2731 Main St, Newfane, NY 14108-1203 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740490523 | Elizabeth Anne Zastrow | Dentist | 3039 Lockport-olcott Road, Newfane, NY 14108 | 2007-05-23 |
1770605420 | Regina M Syracuse | Chiropractor | 2733 South Main St, Newfane, NY 14108 | 2007-04-04 |
1407801798 | Harnath Balendra Clerk | Internal Medicine | 2610 William St, Newfane, NY 14108 | 2006-05-24 |
1720100472 | John Syracuse | Chiropractor | 2733 South Main St, Newfane, NY 14108 | 2007-04-04 |
1841447885 | M. Ashraf Sahaf, Physician, P.C. | Family Medicine | 6030 Edward Ave, Newfane, NY 14108-1009 | 2008-08-21 |
1629096003 | Yong Baek Chi | Internal Medicine | 6040 Edward Ave, Newfane, NY 14108-1009 | 2006-07-17 |
1710933619 | Ashraf M Sahaf | Family Medicine | 6030 Edward Avenue, Newfane, NY 14108-1009 | 2006-05-25 |
1659536134 | Yong B. Chi, M.d., P.l.l.c. | Internal Medicine | 6040 Edward Ave, Newfane, NY 14108-1009 | 2008-07-23 |
1558304295 | Lubna Syed Guru | Pediatrics | 2590 William St, Newfane, NY 14108-1026 | 2006-06-13 |
1174508469 | Prayoon Prabharasuth | Obstetrics & Gynecology | 2594 William St, Newfane, NY 14108-1026 | 2005-12-09 |
Find all providers in zip 14108 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202495 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 339 Gateway Dr, Brooklyn, NY 11239-2805 | 2020-10-16 |
1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
1740888718 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Graham Rd W, Ithaca, NY 14850-1055 | 2020-10-13 |
1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
1831797828 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 S Sunrise Hwy, Bellport, NY 11713-1557 | 2020-10-13 |
1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
1356949598 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1752 Shore Pkwy, Brooklyn, NY 11214-6561 | 2020-10-10 |
1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DAVISON ROAD OPTICAL INC.
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.