Westfield Optical Studio LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WESTFIELD OPTICAL STUDIO LLC

Practice address

105 E Main St
Westfield, NY 14787-1306

Phone

(716) 793-2020

Fax

(716) 793-3030

NPI assigned

Mar 24, 2006

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene GolibersuchNPI 1497922306

Title

Owner

Phone

(716) 793-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Theresa Moore, O.D.

  • Optometrist
  • Westfield, NY
  • NPI 1639520943
  Medicare reassignment Care Compare group NPD
• Diane Christine Cornell McCoy, OD

  • Optometrist
  • Westfield, NY
  • NPI 1033258405
  Medicare reassignment Care Compare group
• Darlene W Golibersuch

  • Optician
  • Westfield, NY
  • NPI 1497922306
  NPD Authorized official
• Thomas S. Gullotti, O.D.

  • Optometrist
  • Jamestown, NY
  • NPI 1912968140
  NPD (past)
• Craig P. Hartnagel, O.D. , P.C.

  • Optometrist
  • Jamestown, NY
  • NPI 1376516948
  NPD (past)
• Kara I Gibbs, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1083605745
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1093775892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871306",
            "telephone_number": "716-793-2020",
            "fax_number": "716-793-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871306",
            "telephone_number": "716-793-2020",
            "fax_number": "716-793-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD OPTICAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLIBERSUCH",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-793-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "0050451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01103479",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02737337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westfield Family Physicians,PC
• Westfield Familyphysicians
• Westfield Healthcare Center, Inc (The Waters of Westfield)
• Westfield Memorial Hospital, Inc.
• Westfield Memorial Hospital, Inc.
• David T. Wilcox, RPH
• Kevin James Wood, LMT

• Optometrist in Westfield, NY
• Providers in Westfield, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.