Carl Richard Endres, OPTHALMIC DISPENSER

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C003507 Issued in NY

Practice address

1777 Orchard Park Rd
West Seneca, NY 14224-4624

Phone

(716) 674-8446

Fax

(716) 674-2682

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zilliox Optical,Inc.

  • Non-Pharmacy Dispensing Site
  • West Seneca, NY
  • NPI 1285782813
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124248760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 ABEL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753641",
            "telephone_number": "716-648-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244624",
            "telephone_number": "716-674-8446",
            "fax_number": "716-674-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "CARL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "OPTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C003507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elderwood Village at Westwood
• Elite Medical Supply
• Elle Therapeutic Massage
• Gary I. Elliott, RPA-C
• Brendon James Emmick
• A. Hartley England
• David James English Jr., DPT
• Joseph Raymond Enser, RN
• Erie County Medical Center
• Erie County South East Corp V

• Optician in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.