Allen M Golibersuch

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NY8737 Issued in NY

Practice address

12444 Broadway St.
Alden, NY 14004

Phone

(716) 937-8888

Fax

(716) 937-8889

NPI assigned

Jan 24, 2012

Last updated

Jan 24, 2012By 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

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1073884912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049529",
            "telephone_number": "716-937-8888",
            "fax_number": "716-937-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 BROADWAY ST.",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "14004",
            "telephone_number": "716-937-8888",
            "fax_number": "716-937-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIBERSUCH",
        "first_name": "ALLEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "NY8737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Fischer
• Jennifer Jaye Fisher, MS
• Donna Marie Garas
• Beth Garigen
• Clare Elizabeth Gavigan
• Courtney Goodremote, RN
• Theresa Hari
• Patricia Jean Hawley, PT
• Michael John Henry, AS.
• Alexandria Hinds

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.