ELLICOTTVILLE OPTICAL INC.


Address: 2 Hughey Alley, Ellicottville, NY 14731-1340
Phone: 7166995293

ELLICOTTVILLE OPTICAL INC. (NPI# 1740467851) 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) 1740467851
Entity Type Organization
Organization Name ELLICOTTVILLE OPTICAL INC.
Practice Address 2 Hughey Alley
Ellicottville
NY 14731-1340
Mailing Address Po Box 1340
2 Hughey Alley
Ellicottville
NY 14731-1340
Practice Telephone 7166995293
Practice Fax Number 7166998726
Mailing Telephone 7166995293
Mailing Fax Number 7166998726
Enumeration Date 2008-01-31
Last Update Date 2008-02-22
Authorized Official Name ROSS MOSCATO (OWNER/PRESIDENT)
Authorized Official Telephone 7166995293
Authorized Official Credential OPTICIAN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies C004448 NY Suppliers

Office Location

Street Address 2 HUGHEY ALLEY
City ELLICOTTVILLE
State NY
Zip Code 14731-1340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841295292 Philip A Sarikey Optometrist 2 Hughey Alley, Ellicottville, NY 14731 2005-06-14
1881768703 Ross Moscato Technician/Technologist 2 Hughey Alley, Ellicottville, NY 14731 2006-11-20

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1326138066 Olean Medical Group Partnership Clinic/Center 6133 Route 219, Suite 1006, Ellicottville, NY 14731 2006-10-13
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

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City ELLICOTTVILLE
Zip Code 14731

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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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