Kelly Chichester
Individual provider Active NPI Optician · Perry, NY
NPI 1063919397 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1063919397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 008707-1 (NY)
- Practice address
- 1 Parker LN
Perry, NY 14530-9703 - Phone
- (585) 237-2064
- Fax
- (585) 237-2073
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008707-1 | NY | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008707-1 | NY | Yes |
Addresses
Primary practice location
1 Parker LN
Perry, NY 14530-9703
Mailing address
2469 State Route 19 N
Warsaw, NY 14569-9336
Phone (585) 786-8505
Other providers in Perry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.