Organization Active NPI

Roger Guy Inc.

  • Optician
  • Ithaca, NY
National Provider Identifier
1093909129
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
3079 Issued in NY
Legal business name
ROGER GUY INC.
Practice address
609 W Clinton St
Ithaca, NY 14850-5255
Phone
(607) 272-7775
Fax
(607) 272-7776
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Frederick A Allabaugh, OPTICIAN
Title
Owner
Phone
(607) 272-7775

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV003728 NY
Contact Lens FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0801X 5536217 NY
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X C006861-1 NY
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 3079 NY Primary

Addresses

Primary practice location

609 W Clinton St
Ithaca, NY 14850-5255

Mailing address

609 W Clinton St
Ithaca, NY 14850-5255
Phone (607) 272-7775

Other names 1

  • Westtown Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093909129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W CLINTON ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505255",
            "telephone_number": "607-272-7775",
            "fax_number": "607-272-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W CLINTON ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505255",
            "telephone_number": "607-272-7775",
            "fax_number": "607-272-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER GUY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLABAUGH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-272-7775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003728",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "5536217",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C006861-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westtown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.