Creative Optical, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

CREATIVE OPTICAL, LLC

Practice address

300 State St
Ogdensburg, NY 13669

Phone

(315) 755-2530

Fax

(315) 755-2531

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David A Ewing-Chow, MD

Title

Member

Phone

(315) 788-0022

Specialties & licenses 1

Addresses

Tax ID family

Creative Optical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Creative Optical, LLC

  • Optician
  • Watertown, NY
  • NPI 1952635443
  NPD tax ID

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1093042020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-788-0022",
            "fax_number": "315-788-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-755-2530",
            "fax_number": "315-755-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "EWING-CHOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-788-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela J. Cougler
• Lori Courtois
• Linda Susan Covey, LMSW
• Christopher Cox, ED.D., LMHC, CASAC
• Jennifer Coyne
• Rita Crowley, PNP
• Teyanna Cunningham, LMSW
• Kylie Currier
• Timmy Joe Currier, PEER RECOVERY
• Charlene M Cutway, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.