Organization Active NPI

Medina Optical Fashions, Inc.

  • Eyewear Supplier
  • Medina, NY
National Provider Identifier
1013044544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jean Marie Rishel
Title
Vice President Treasure
Phone
(734) 944-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

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 1

IdentifierTypeStateIssuer
02604873MedicaidNY

National Provider Directory

National Provider Directory

Locations

414 Main St
Medina, NY 14103
Phone (585) 798-4930

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013044544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031417",
            "telephone_number": "585-798-4930",
            "fax_number": "585-798-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031417",
            "telephone_number": "585-798-4930",
            "fax_number": "585-798-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA OPTICAL FASHIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISHEL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT TREASURE",
        "authorized_official_telephone_number": "734-944-2219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.