Creighton Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

006357 Issued in NY

Legal business name

CREIGHTON OPTICAL

Doing business as

DBA Kevin Creighton

Practice address

13375 Broadway St
Alden, NY 14004-1410

Phone

(716) 937-7373

Fax

(716) 937-4136

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin F Creighton, OPTICIAN

Title

Owner

Phone

(716) 937-7373

Specialties & licenses 1

Addresses

Other names 1

• DBA Kevin Creighton Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph F Kuczmarski, O.D.

  • Optometrist
  • Cheektowaga, NY
  • NPI 1982752119
  NPD (past)
• Matthew E Sendker, OD

  • Optometrist
  • Williamsville, NY
  • NPI 1629031778
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1003196155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13375 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041410",
            "telephone_number": "716-937-7373",
            "fax_number": "716-937-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13375 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041410",
            "telephone_number": "716-937-7373",
            "fax_number": "716-937-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-937-7373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "006357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Kevin Creighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Marie Bucci, LCSW-R
• Stanley Loyola Bukowski, M.D.
• Christy N. Ratajczak, LCSW P.C.
• Mary Elizabeth Clemens, M.D.
• Amy A. Cox, CRNA
• Creighton Optical
• Creighton Optical (James F. Creighton, Optician)
• Stacey Creighton
• Zayne Cunningham
• Beatrice Veronica Czup

• Eyewear Supplier in Alden, NY
• Providers in Alden, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.