Active NPI
Walter J. Kasperek
- Optician
- Cortland, NY
National Provider Identifier
1013038496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- WALTER J. KASPEREK
- Practice address
- 1100 State Route 222
Cortland, NY 13045-1834 - Phone
- (607) 756-4159
- Fax
- (607) 758-7827
- NPI assigned
- Apr 3, 2007
- 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
- Mr. Walter Joseph Kasperek, OPTICIAN
- Title
- Owner
- Phone
- (607) 756-4159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1100 State Route 222
Cortland, NY 13045-1834
Mailing address
1100 State Route 222
Cortland, NY 13045-1834
Phone (607) 756-4159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000023063 | Other | NY | BC BS EXCELLUS |
Other names 1
- Eyewear Plus
National Provider Directory
National Provider DirectoryLocations
1100 State Route 222
Cortland, NY 13045
Phone (607) 756-4159
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
- Auburn, NY
- NPI 1003884495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1013038496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 STATE ROUTE 222",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451834",
"telephone_number": "607-756-4159",
"fax_number": "607-758-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 STATE ROUTE 222",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451834",
"telephone_number": "607-756-4159",
"fax_number": "607-758-7827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER J. KASPEREK",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "KASPEREK",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-756-4159",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS EXCELLUS",
"identifier": "000023063",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyewear Plus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.