Paul S. Delange, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV003342-1 Issued in NY

Practice address

215 East Ave
Lockport, NY 14094-3812

Phone

(716) 433-6326

Fax

(716) 434-7809

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Sarah a Shaw OD Optometrist PLLC

  • Optometrist
  • Lockport, NY
  • NPI 1093377723
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1063485381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943812",
            "telephone_number": "716-434-2874",
            "fax_number": "716-434-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943812",
            "telephone_number": "716-433-6326",
            "fax_number": "716-434-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANGE",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV003342-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davison Road Optical, Inc.
• Juan De Rosas, MD
• Eric Edward Dean, RPAC
• Lauren Dechambeau, RDN, CDN, CLC
• Timothy Deeks, LCSW
• Kelli S Demorest- Clemons, LPN
• Bethany R Denardo
• Kaitlin Denney, RN
• Parag Desai, MD
• Lucy Desjardins

• Corneal and Contact Management Optometrist in Lockport, NY
• Providers in Lockport, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.