Medina Optical Fashions, Inc.
Organization Active NPI Eyewear Supplier · Medina, NY
NPI 1013044544 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013044544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- MEDINA OPTICAL FASHIONS, INC.
- Practice address
- 414 Main St
Medina, NY 14103-1417 - Phone
- (585) 798-4930
- Fax
- (585) 798-4930
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Jean Marie Rishel
- Title
- Vice President Treasure
- Phone
- (734) 944-2219
Practitioners 1
National Provider Directory
Locations
414 Main St
Medina, NY 14103
Phone (585) 798-4930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
414 Main St
Medina, NY 14103-1417
Mailing address
414 Main St
Medina, NY 14103-1417
Phone (585) 798-4930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02604873 | Medicaid | NY |
Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.