Individual provider Active NPI

Gregory Vincent Michaels

  • Optician
  • Tonawanda, NY
National Provider Identifier
1023205309
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005804-1 Issued in NY
Practice address
555 Delaware St
Tonawanda, NY 14150-5358
Phone
(716) 695-2024
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 005804-1 NY Primary

Addresses

Primary practice location

555 Delaware St
Tonawanda, NY 14150-5358

Mailing address

448 Delaware St
Tonawanda, NY 14150-3944
Phone (716) 695-2024

Other practice location 1

8962 Porter Rd
Niagara Falls, NY 14304-5700
Phone (716) 297-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005804-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Northtowns Oral & Maxillofacial Surgery, PLLC Past Accepting new patients
Ladota Optometry, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1023205309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503944",
            "telephone_number": "716-695-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505358",
            "telephone_number": "716-695-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8962 Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143045700",
            "country_code": "US",
            "telephone_number": "716-297-4994",
            "fax_number": "716-389-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "GREGORY",
        "middle_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.