Active NPI
Doris Prashaw, OPHTHALMIC DISPENSER
- Optician
- Ogdensburg, NY
National Provider Identifier
1003158692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- NY007505
- Practice address
- 420 Ford St
Ogdensburg, NY 13669-1620 - Phone
- (315) 393-7171
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NY007505 | NY | Primary |
| Contact Lens Fitter | 156FC0801X | NY007505 | NY |
Addresses
Primary practice location
420 Ford St
Ogdensburg, NY 13669-1620
Mailing address
420 Ford St
Ogdensburg, NY 13669-1620
Phone (315) 393-7171
Other practice location 1
25 Hospital Dr
Massena, NY 13662-1009
Phone (315) 705-6508
Other names 1
- Doris Goble
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY007505 | NY | MD | Contact Lens Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M B Kayani Physician PC | Past | Accepting new patients | |
| M B Kayani Physician PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Massena, NY
- NPI 1043552854
-
- Ophthalmology Physician
- Gouverneur, NY
- NPI 1801014394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1003158692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691620",
"telephone_number": "315-393-7171",
"fax_number": "315-393-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691620",
"telephone_number": "315-393-7171"
}
],
"practiceLocations": [
{
"address_1": "25 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Massena",
"state": "NY",
"postal_code": "136621009",
"country_code": "US",
"telephone_number": "315-705-6508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRASHAW",
"first_name": "DORIS",
"credential": "OPHTHALMIC DISPENSER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "NY007505",
"primary": true
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "NY",
"license": "NY007505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORIS",
"last_name": "GOBLE",
"credential": "OPHTHALMIC DISPENSER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.