Active NPI
Southern Tier Optometric Center Inc
- Optometrist
- Erie, PA
National Provider Identifier
1003896440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SOUTHERN TIER OPTOMETRIC CENTER INC
- Practice address
- 147 W 18TH St
Erie, PA 16501-2103 - Phone
- (814) 454-7138
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sam L Rosenswie
- Title
- Corporate Business Manager
- Phone
- (716) 372-9464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
147 W 18TH St
Erie, PA 16501-2103
Mailing address
147 W 18TH St
Erie, PA 16501-2103
Phone (814) 454-7138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003896440 | Other | PA | NPI |
Other names 1
- Council Optometric Center
National Provider Directory
National Provider DirectoryLocations
436 Central Ave
Dunkirk, NY 14048
Phone (716) 363-6339
548 W 3rd St
Jamestown, NY 14701
Phone (716) 488-1147
168 N Union St
Olean, NY 14760
Phone (716) 372-9464
147 W 18th St
Erie, PA 16501
Phone (814) 454-7138
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Olean, NY
- NPI 1841260882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1003896440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 W 18TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165012103",
"telephone_number": "814-454-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 W 18TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165012103",
"telephone_number": "814-454-7138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN TIER OPTOMETRIC CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "ROSENSWIE",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CORPORATE BUSINESS MANAGER",
"authorized_official_telephone_number": "716-372-9464",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003896440",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Council Optometric Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.