VIVIAN K. FASULA, MD PC (NPI# 1700943388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700943388 |
| Entity Type | Organization |
| Organization Name | VIVIAN K. FASULA, MD PC |
| Other Organization Name | EYES RX |
| Practice Address |
70 Professional Pkwy Lockport NY 14094-5366 |
| Practice Telephone | 7164340021 |
| Practice Fax Number | 7164399084 |
| Mailing Telephone | 7164340021 |
| Mailing Fax Number | 7164399084 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MRS. MARSHA F EDELMAN (OPTICIAN) |
| Authorized Official Telephone | 7164340021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
C004756-1 | NY | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
C004756-1 | NY | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eyes Rx | Doing Business As Name - Organization |
| Street Address |
70 PROFESSIONAL PKWY |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770724635 | Andrea M Buccilli | Ophthalmology | 70 Professional Pkwy, Lockport, NY 14094-5366 | 2009-03-23 |
| 1316004013 | Charles J Fetterman Md PC | Ophthalmology | 70 Professional Pkwy, Lockport, NY 14094-5366 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295847556 | Wal-mart Stores East, Lp | Technician/Technologist | 5783 S Transit Rd, Lockport, NY 14094-5811 | 2006-08-31 |
| 1427521566 | Cathy J Carroll | Technician/Technologist | 5735 S Transit Rd, Lockport, NY 14094-5864 | 2019-01-10 |
| 1790291524 | Amber Keith | Technician/Technologist | 5735 S Transit Rd, Lockport, NY 14094-5864 | 2017-12-15 |
| 1962526814 | Sherwin W Brownsten | Technician/Technologist | 36 East Ave, Lockport, NY 14094-3708 | 2007-03-18 |
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|---|---|---|---|---|
| 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.