SILVER CREEK OPTICAL CARE, LLC (NPI# 1881194017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881194017 |
| Entity Type | Organization |
| Organization Name | SILVER CREEK OPTICAL CARE, LLC |
| Practice Address |
41 Main St Silver Creek NY 14136-1416 |
| Practice Telephone | 7169343030 |
| Practice Fax Number | 7169344960 |
| Mailing Telephone | 7169343030 |
| Mailing Fax Number | 7169344960 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MARCEY A DENARDO (OWNER) |
| Authorized Official Telephone | 7169343030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
C009342-1 | NY | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SILVER CREEK OPTICAL CARE, LLC | 69 Delaware Ave., Suite 1003, Buffalo, Ny 14202 |
| Street Address |
41 MAIN ST |
| City | SILVER CREEK |
| State | NY |
| Zip Code | 14136-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549835 | Marcey A Denardo | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2014-04-21 |
| 1821121898 | Silver Creek Optical Inc. | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2007-03-13 |
| 1932295847 | John M Ford | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533365 | Village of Silver Creek | Ambulance | 172 Central Avenue, Silver Creek, NY 14136 | 2020-03-18 |
| 1114374352 | Michelle Christian | Counselor | 1079 Main Rd, Silver Creek, NY 14136 | 2016-05-18 |
| 1578941126 | Xuan Huy Phan | Internal Medicine | 113 Main St, Silver Creek, NY 14136 | 2015-05-15 |
| 1073959391 | Fresh Start Mental Health Counseling Pllc | Counselor | 71 Main St, Silver Creek, NY 14136 | 2013-05-14 |
| 1962629550 | Jacquelyn Mary Sackett | Speech-Language Pathologist | 87 Main Street, Silver Creek, NY 14136 | 2007-04-18 |
| 1528110483 | Zdenka Safar | Pediatrics | 194 Central Ave, Silver Creek, NY 14136 | 2007-01-18 |
| 1154307171 | Olina M Dulak | Dentist | 195 Central Ave, Silver Creek, NY 14136 | 2005-12-21 |
| 1366580326 | Silver Creek Csd | Local Education Agency (LEA) | 1 Dickinson Street, Silver Creek, NY 14136-0270 | 2007-02-02 |
| 1235677436 | Mercedes Carmona | Registered Nurse | 11 Rumsey St, Silver Creek, NY 14136-1025 | 2017-02-07 |
| 1841842705 | Daniel Wayne Ramsey | Registered Nurse | 11 Rumsey St, Silver Creek, NY 14136-1025 | 2019-07-11 |
| Find all providers in zip 14136 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549835 | Marcey A Denardo | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2014-04-21 |
| 1821121898 | Silver Creek Optical Inc. | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2007-03-13 |
| 1932295847 | John M Ford | Technician/Technologist | 41 Main St, Silver Creek, NY 14136-1416 | 2006-10-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SILVER CREEK |
| Zip Code | 14136 |
Please comment or provide details below to improve the information on SILVER CREEK OPTICAL CARE, LLC.
| 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.