MR. FREDERICK CYRIL ALLABAUGH (NPI# 1770603375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770603375 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK CYRIL ALLABAUGH |
| Credential | OPTICIAN |
| Practice Address |
609 W Clinton St Ithaca NY 14850-5255 |
| Practice Telephone | 6072727775 |
| Practice Fax Number | 6072727776 |
| Mailing Telephone | 6072727775 |
| Mailing Fax Number | 6072727776 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
3079 | NY | Eye and Vision Services Providers |
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
3079 | NY | Eye and Vision Services Providers |
| Street Address |
609 W CLINTON ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124178629 | Xinmin Zhao | Acupuncturist | 609 W Clinton St, Suite 105, Ithaca, NY 14850-5255 | 2007-01-10 |
| 1740457803 | Westtown Optical Inc | Optometrist | 609 W Clinton St, Ithaca, NY 14850-5255 | 2008-05-08 |
| 1851562284 | Day Care & Child Development Council of Tompkins County, Inc. | Case Management | 609 W Clinton St, Ithaca, NY 14850-5255 | 2008-03-13 |
| 1093909129 | Roger Guy Inc. | Optometrist | 609 W Clinton St, Ithaca, NY 14850-5255 | 2007-08-31 |
| 1467575373 | Dawn Patricia Young | Technician/Technologist | 609 W Clinton St, Ithaca, NY 14850-5255 | 2007-04-06 |
| 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 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467575373 | Dawn Patricia Young | Technician/Technologist | 609 W Clinton St, Ithaca, NY 14850-5255 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557976 | Eyemaven Optical LLC | Technician/Technologist | 3702 Main St # F1, Flushing, NY 11354-4107 | 2020-10-26 |
| 1598227456 | Michael Kather | Technician/Technologist | 325 West St Ste 100, Canandaigua, NY 14424-1787 | 2019-04-01 |
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1629582309 | Hogenkamp Optics LLC | Technician/Technologist | 6404 W Quaker St, Orchard Park, NY 14127-2353 | 2017-11-17 |
| 1699002345 | Anthony Frank Gaggi | Technician/Technologist | 42 Saint Marks Pl, New York, NY 10003-8116 | 2009-11-17 |
| 1245461144 | Flatbush Express Optical, Inc | Technician/Technologist | 860 Flatbush Ave, Brooklyn, NY 11226-3102 | 2009-07-27 |
| 1588812937 | Kelly's Fashion Optical | Technician/Technologist | 529 E 138th St, Bronx, NY 10454-4925 | 2008-08-27 |
| 1184881716 | Franklin Senia | Technician/Technologist | 3561 Sheridan Dr, Amherst, NY 14226-1629 | 2008-05-21 |
| 1811400526 | Sarah Miller | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
| 1427561117 | Michael Firlit | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
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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.