Massena Optics, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3272 Issued in NY

Legal business name

MASSENA OPTICS, INC.

Practice address

55 Main St
Massena, NY 13662-1913

Phone

(315) 769-5881

Fax

(315) 769-3997

NPI assigned

Aug 23, 2008

Last updated

Aug 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allan Michael Kieswetter, OPTICIAN

Title

Optician/Owner

Phone

(315) 769-5881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219449600000",
    "number": "1114174968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621913",
            "telephone_number": "315-769-5881",
            "fax_number": "315-769-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621913",
            "telephone_number": "315-769-5881",
            "fax_number": "315-769-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSENA OPTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A",
        "authorized_official_last_name": "KIESWETTER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "315-769-5881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Massena, NY
• Providers in Massena, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.