MRS. KIM LYNN CRANDALL (NPI# 1992359178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992359178 |
| Entity Type | Individual |
| Full Name | MRS. KIM LYNN CRANDALL |
| Practice Address |
111 Clara Barton St Dansville NY 14437 |
| Mailing Address |
111 Clara Barton St Dansville NY 14437-9503 |
| Practice Telephone | 5853352583 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
111 CLARA BARTON ST |
| City | DANSVILLE |
| State | NY |
| Zip Code | 14437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293693 | Arif Qureshi | Radiology | 111 Clara Barton St, Dansville, NY 14437-9503 | 2005-05-24 |
| 1083238760 | Nina Charlene Holbrook | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9527 | 2020-05-29 |
| 1609437870 | Amber Noragong | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9503 | 2019-06-27 |
| 1093376253 | Amy Bridge | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9503 | 2019-06-27 |
| 1326524406 | Jessica L Kershner | Physical Therapist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-07-12 |
| 1659865418 | Danielle Nicole Murtha | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437 | 2018-06-15 |
| 1164919023 | Janet Rodger | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-17 |
| 1891292421 | Patrick J Conway | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-10 |
| 1831638345 | Gregory Talbot | Physical Therapist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2017-02-16 |
| 1215476700 | David Wolcott | Physical Therapist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092185 | Heather Leigh Marble | Licensed Practical Nurse | 43 Morey Ave, Dansville, NY 14437 | 2013-06-05 |
| 1104905215 | James Conrad Vogler | Dentist | 64 Elizabeth Street, Dansville, NY 14437 | 2006-11-02 |
| 1467533430 | Community Hearing Services Ltd | Audiologist | 117 Franklin Street, Suite 300, Dansville, NY 14437 | 2006-10-18 |
| 1063420008 | Dansville Family Dental Care | Dentist | 201 Main St, Dansville, NY 14437 | 2006-08-04 |
| 1356591234 | Shifa Medical Pllc | Internal Medicine | 26 Red Jacket St, Dansville, NY 14437-0057 | 2008-09-26 |
| 1932303096 | Tri-county Family Medicine Program, Inc | Family Medicine | 60 Red Jacket Street, Suite 1, Dansville, NY 14437-0339 | 2007-06-13 |
| 1972831782 | Ayesha Tasaddaq | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2009-12-07 |
| 1871551937 | Jill Matzek | Physician Assistant | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| 1639137706 | Anthony Witte | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| 1962460014 | Geoffrey Wittig | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| Find all providers in zip 14437 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003873837 | Jennifer L. Leuzzi | Technician/Technologist | 14 Main St, Dansville, NY 14437-1756 | 2006-04-26 |
| 1164919023 | Janet Rodger | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-17 |
| 1891292421 | Patrick J Conway | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-10 |
| 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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| 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.