OPTIVISION OF ITHACA INC.


Address: 106 E State St, Ithaca, NY 14850-5542
Phone: 6072727441

OPTIVISION OF ITHACA INC. (NPI# 1730255951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730255951
Entity Type Organization
Organization Name OPTIVISION OF ITHACA INC.
Practice Address 106 E State St
Ithaca
NY 14850-5542
Practice Telephone 6072727441
Mailing Telephone 6072727441
Enumeration Date 2006-11-28
Last Update Date 2008-06-10
Authorized Official Name DANA SCOTT POTENZA (PRESIDENT)
Authorized Official Telephone 6072727441
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
004683-1 NY Eye and Vision Services Providers

Office Location

Street Address 106 E STATE ST
City ITHACA
State NY
Zip Code 14850-5542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205995461 Bohdan Jemetz Optometrist 106 E State St, Ithaca, NY 14850-5542 2006-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174123897 Michelle Lee Sanito Registered Nurse 400 Lake Street, Ithaca, NY 14850 2020-10-30
1457959843 Summit Alternatives Lmsw PC Community/Behavioral Health 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 2020-10-16
1518581701 Sameer Acharya Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-03
1699399873 Anurag Aryal Student in an Organized Health Care Education/Training Program 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 2020-06-03
1932723228 Binay Kumar Kshetree Student in an Organized Health Care Education/Training Program Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-02
1225657349 Nima Hazrati Pour Fard Student in an Organized Health Care Education/Training Program Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 2020-04-09
1326671090 Garret Hoskey Specialist/Technologist 953 Dany Road, Ithaca, NY 14850 2020-02-20
1609407709 En-ting Hsu Marriage & Family Therapist 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 2020-01-28
1306491063 Patrick Owen Mckeon Specialist/Technologist Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 2019-08-08
1538722343 Priyesh Thakurathi Student in an Organized Health Care Education/Training Program 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 2019-04-17
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1457657603 National Vision Inc Technician/Technologist 748 S Meadow St, Ithaca, NY 14850-5374 2011-02-07
1952517104 Christopher J Stefano Technician/Technologist 40 Catherwood Rd, Ithaca, NY 14850-1056 2007-05-15
1063636207 Carey L Doane Technician/Technologist 10 Brentwood Dr, Suite A, Ithaca, NY 14850-1865 2007-04-12
1831296433 Wal-mart Stores East, Lp Technician/Technologist 135 Fairgrounds Memorial Pkwy, Ithaca, NY 14850-5362 2006-09-19

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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
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Competitor

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City ITHACA
Zip Code 14850

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Dataset Information

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.

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