Active NPI
Buffalo Niagara Retina Associates, PC
- Specialist
- Williamsville, NY
National Provider Identifier
1124265376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2358341
- Legal business name
- BUFFALO NIAGARA RETINA ASSOCIATES, PC
- Practice address
- 6480 Main St
Siute #1
Williamsville, NY 14221-5852 - Phone
- (716) 631-3300
- Fax
- (716) 631-3303
- NPI assigned
- Jan 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn Theurer
- Title
- Billing Manager
- Phone
- (716) 631-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2358341 | NY | Primary |
Addresses
Primary practice location
6480 Main St
Siute #1
Williamsville, NY 14221-5852
Mailing address
6480 Main St
Suite #1
Williamsville, NY 14221-5852
Phone (716) 631-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02676391 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
220 Red Tail Rd
Ste 3
Orchard Park, NY 14127
Phone (716) 631-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Cheektowaga, NY
- NPI 1174634976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1124265376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 MAIN ST",
"address_2": "SUITE #1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215852",
"telephone_number": "716-631-3300",
"fax_number": "716-631-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 MAIN ST",
"address_2": "SIUTE #1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215852",
"telephone_number": "716-631-3300",
"fax_number": "716-631-3303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO NIAGARA RETINA ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "THEURER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "716-631-3300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "2358341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02676391",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Buffalo Neuromusculoskeletal Medicine PLLC
- Buffalo Neurosurgery P.C.
- Buffalo Niagara Endodontics, P.C.
- Buffalo Niagara Music Therapy Services, LLC
- Buffalo Niagara Retina
- Buffalo Ophthalmology PLLC
- Buffalo Orthopaedic Group,LLP
- Buffalo Pharmacies Inc
- Buffalo Physical Therapy & Sports Rehabilitation, PC
- Buffalo Radiation Oncology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.