Binghampton Optical Inc
Organization Active NPI Eyewear Supplier · Rome, NY
NPI 1114015393 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114015393
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 0055661 (NY)
- Legal business name
- BINGHAMPTON OPTICAL INC
- Practice address
- Mohawk Acres Shopping Center
Black River Blvd
Rome, NY 13440 - Phone
- (315) 339-3500
- Fax
- (315) 339-3500
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin P Whiting
- Title
- President
- Phone
- (607) 723-8357
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Binghamton Optical Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 0055661 | NY | Yes |
Addresses
Primary practice location
Mohawk Acres Shopping Center
Black River Blvd
Rome, NY 13440
Mailing address
Mohawk Acres Shopping Center
Black River Blvd
Rome, NY 13440
Phone (315) 339-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01485905 | Medicaid | NY |
Other names
- Eyesights
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.