Alfred Michael Russitano, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4846 Issued in NY

Practice address

174 Canal St
Canastota, NY 13032-1335

Phone

(315) 697-3334

Fax

(315) 697-3423

NPI assigned

Sep 28, 2006

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alfred M. Russitano

  dba Canal Town Optical

  • Eyewear Supplier
  • Canastota, NY
  • NPI 1548427701

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1053403972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CANAL ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321335",
            "telephone_number": "315-697-3334",
            "fax_number": "315-697-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CANAL ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321335",
            "telephone_number": "315-697-3334",
            "fax_number": "315-697-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSITANO",
        "first_name": "ALFRED",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan J Philo Sr., MSW/LMSW
• Physical Therapy & Electrophysiologic Specialist of Ny PLLC (J P Riccelli Physical Therapy Specialists)
• Donald Max Pirodsky, M.D.
• Richard William Puente, O.D.
• Paulette Rena Roque
• Catherine Jane Saverino
• Alicia J Sgarlata, LPN
• Kathryn Jean Shaver, LPN
• Michael Siegenthaler, MD
• Lauren Skibitski

• Optician in Canastota, NY
• Providers in Canastota, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.