Organization Active NPI

Retina Consultants of Western New York, PC

  • Ophthalmology Physician
  • Williamsville, NY
National Provider Identifier
1114112125
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CONSULTANTS OF WESTERN NEW YORK, PC
Practice address
6637 Main Street
Williamsville, NY 14221-5974
Phone
(716) 632-1595
Fax
(716) 204-4895
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Tina F Macdonald
Title
Practice Manager
Phone
(716) 992-7458

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 119187 NY
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6637 Main Street
Williamsville, NY 14221-5974

Mailing address

6637 Main Street
Williamsville, NY 14221-5974
Phone (716) 632-1595

Other names 1

  • RETINA CONSULTANTS OF Western New York, PC Doing business as

National Provider Directory

National Provider Directory

Locations

6933 Williams Rd
Niagara Falls, NY 14304
Phone (716) 205-0151

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1114112125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215974",
            "telephone_number": "716-632-1595",
            "fax_number": "716-204-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215974",
            "telephone_number": "716-632-1595",
            "fax_number": "716-204-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF WESTERN NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "716-992-7458"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "119187",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETINA CONSULTANTS OF Western New York, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RETINA CONSULTANTS OF Western New York, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.