Organization Active NPI

Eyes Downtown

  • Eyewear Supplier
  • Buffalo, NY
National Provider Identifier
1093147902
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYES DOWNTOWN
Practice address
902 Main St
Buffalo, NY 14202-1403
Phone
(716) 883-9550
Fax
(716) 883-9551
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BOBS EYES DOWNTOWNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Ms. Lisa Cudmore
Title
Manager
Phone
(716) 883-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

902 Main St
Buffalo, NY 14202-1403

Mailing address

902 Main St
Buffalo, NY 14202-1403
Phone (716) 883-9550

Other identifiers 1

IdentifierTypeStateIssuer
03161415MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Eyes on Harlem2 organizations share this tax ID, including this one
Part of
Eyes on Harlem

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1093147902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021403",
            "telephone_number": "716-883-9550",
            "fax_number": "716-883-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021403",
            "telephone_number": "716-883-9550",
            "fax_number": "716-883-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES DOWNTOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOBS EYES DOWNTOWN",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CUDMORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-883-9550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03161415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.