Active NPI
Medina Optical Fashions, Inc.
- Eyewear Supplier
- Medina, NY
National Provider Identifier
1013044544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2020
- 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
- Ms. Jean Marie Rishel
- Title
- Vice President Treasure
- Phone
- (734) 944-2219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02604873 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optician
- Medina, NY
- NPI 1063640449
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
- Amanda Ann McDonald, RN FNP
- Derrick Laird McGaughey, L.S.P., C.C.C.
- Kelly Deann McMurray, LPN
- Medina Central School District
- Medina Dental PLLC (Lockport Dental Group PC d/b/s Medina Dental Group)
- Medina Transport Taxi LLC
- Shivani Mehta, DPT
- Joseph Paul Meyer, PHARMD
- Elizabeth Marie Miles, PHARMD
- Joseph M Misiti, M.D.
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.