Individual provider Active NPI

Charles John Aldinger, OPTICIAN

  • Optician
  • Rochester, NY
National Provider Identifier
1083764716
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
1972 S Clinton Ave
Rochester, NY 14618-5620
Phone
(585) 244-2200
Fax
(585) 244-3416
NPI assigned
Jan 12, 2007
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

1972 S Clinton Ave
Rochester, NY 14618-5620

Mailing address

2300 Buffalo Rd
Rochester, NY 14624-1367
Phone (585) 328-0153

Other identifiers 1

IdentifierTypeStateIssuer
1245467711OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004629 NY DME Supplier - Physician - OphthalmologyDME Supplier - Optician 0446219372 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1083764716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "585-244-2200",
            "fax_number": "585-244-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDINGER",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245467711",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.