NPIMap

Organization Active NPI

National Vision

  • Optician
  • Saratoga SPGS, NY
National Provider Identifier
1104051390
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008386-1 Issued in NY
Legal business name
NATIONAL VISION
Practice address
16 Old Gick Rd
Saratoga SPGS, NY 12866-9452
Phone
(518) 587-0258
Fax
(518) 583-3991
NPI assigned
May 18, 2009
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Mrs. Jeannine L Bower, OPTICIAN
Title
Licensed Optician
Phone
(518) 587-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 008386-1 NY Primary

Addresses

Primary practice location

16 Old Gick Rd
Saratoga SPGS, NY 12866-9452

Mailing address

16 Old Gick Rd
Saratoga SPGS, NY 12866-9452
Phone (518) 587-0258

National Provider Directory

National Provider Directory
Tax ID family
Consolidated Vision Group1,623 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1104051390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD GICK RD",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128669452",
            "telephone_number": "518-587-0258",
            "fax_number": "518-583-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD GICK RD",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128669452",
            "telephone_number": "518-587-0258",
            "fax_number": "518-583-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "518-587-0258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008386-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga SPGS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.