OPTIVISION (NPI# 1699983262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699983262 |
Entity Type | Organization |
Organization Name | OPTIVISION |
Practice Address |
3662 The Park Cortland NY 13045-3324 |
Practice Telephone | 6077537514 |
Practice Fax Number | 6077537515 |
Mailing Telephone | 6077537514 |
Mailing Fax Number | 6077537515 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2009-09-16 |
Authorized Official Name | MR. KENNETH W MCNEIL (OPTICIAN,OWNER) |
Authorized Official Telephone | 6077537514 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | TUV005032 | NY | Eye and Vision Services Providers |
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
4079 | NY | Eye and Vision Services Providers |
N | 332H00000X | Eyewear Supplier (Equipment, not the service) | TUV005032 | NY | Suppliers |
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 4079 | NY | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | OPTIVISION OF U.S.A., INC. | Nissim Joseph, 73 Countryside Rd., Newton Centre, MA 02159 |
Massachusetts Corporations | OPTIVISION SERVICES INC. | 140 Main St Ste 8, Milford, MA 01757 |
System for Award Management (SAM) Entities | OPTIVISION, INC. | 2924 N 24th Ave, Phoenix, AZ 85015-5901 |
Street Address |
3662 THE PARK |
City | CORTLAND |
State | NY |
Zip Code | 13045-3324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811052186 | Kenneth W Mcneil | Technician/Technologist | 3662 The Park, Cortland, NY 13045-3324 | 2006-12-26 |
1912169731 | Roger A Homan | Technician/Technologist | 3662 The Park, Cortland, NY 13045-2001 | 2008-07-02 |
1932255809 | Nancy D. Conley | Technician/Technologist | 3662 The Park, Cortland, NY 13045-3324 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
Find all providers in zip 13045 |
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 |
---|---|---|---|---|
1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
1619038577 | The Optical Barr Inc. | Eyewear Supplier (Equipment, not the service) | 201 Mclean Rd, Cortland, NY 13045-3509 | 2006-12-13 |
1255623872 | Dr. Dale P. Lindsey, O.d., Inc. | Eyewear Supplier (Equipment, not the service) | 122 Fowler St, Cortland, OH 44410-1328 | 2011-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.