Organization Active NPI

Walter J. Kasperek

  • Optician
  • Cortland, NY
National Provider Identifier
1013038496
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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

Updated by the provider on Jun 13, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000023063OtherNYBC BS EXCELLUS

Other names 1

  • Eyewear Plus Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.