20/20 Optical LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Glens Falls, NY
NPI 1063137107 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1063137107
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 20/20 OPTICAL LLC
- Practice address
- 15 E Washington St
Glens Falls, NY 12801-3315 - Phone
- (518) 761-2020
- NPI assigned
- Oct 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul J Westfall, OD
- Title
- Owner
- Phone
- (203) 516-8116
Practitioners 1
-
Paul Jerome Westfall, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230306000806 | NY | DME Supplier - Optician | 2769855113 | Practice locations: Glens Falls, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
15 E Washington St
Glens Falls, NY 12801-3315
Mailing address
10 Horicon Ave
Glens Falls, NY 12801-2655
Phone (203) 516-8116
Other providers in Glens Falls, NY
All providers in Glens Falls, NY · Durable Medical Equipment & Medical Supplies in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.