NPIMap

200 West Optics, LLC

Organization Active NPI Optometrist · Depew, NY

NPI 1023820164 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1023820164
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
200 WEST OPTICS, LLC
Practice address
4703 Transit Rd
Depew, NY 14043-4861
Phone
(716) 656-2011
Fax
(716) 656-1946
NPI assigned
Jan 24, 2025
Organization subpart
No

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210525000165 NY Part B Supplier - Clinic/Group Practice 5395144380 Receives reassigned benefits from 84 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yonkers, NY; Williamsville, NY; Somers, NY; Rockville Centre, NY; Rhinebeck, NY; Plainview, NY; New York, NY; Garden City, NY…

National Provider Directory

Tax ID family
200 West Optics LLC (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

4703 Transit Rd
Depew, NY 14043-4861

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names

  • MyEyeDr. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2025.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1023820164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434861",
            "telephone_number": "716-656-2011",
            "fax_number": "716-656-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "200 WEST OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Depew, NY

All providers in Depew, NY · Optometrist in New York

Sources for this page

Verify at the official NPI Registry.