NPIMap

Organization Active NPI

Auburn Eye Care Center

  • Optometrist
  • Auburn, NY
National Provider Identifier
1093866931
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004850 Issued in NY
Legal business name
AUBURN EYE CARE CENTER
Practice address
232 Genesee St.
Auburn, NY 13021-3223
Phone
(315) 252-5622
Fax
(315) 255-1367
NPI assigned
Jan 16, 2007
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Martin Sewall Losito, ODNPI 1174692867
Title
Optometrist
Phone
(315) 252-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004850 NY Primary

Addresses

Primary practice location

232 Genesee St.
Auburn, NY 13021-3223

Mailing address

232 Genesee St
Auburn, NY 13021-3223
Phone (315) 252-5622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081210000311 NY Part B Supplier - Clinic/Group Practice 4789745621 Receives reassigned benefits from 5 practitioners
Practice locations: Auburn, NY
O20100930094843 NY DME Supplier - Physician - OptometristDME Supplier - Optician 4789745621 Practice locations: Auburn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1093866931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213223",
            "telephone_number": "315-252-5622",
            "fax_number": "315-255-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 GENESEE ST.",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213223",
            "telephone_number": "315-252-5622",
            "fax_number": "315-255-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "LOSITO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SEWALL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-252-5622",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.