Sidney Hillman Health CNTR of Rochester

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

C003607-1 Issued in NY

Legal business name

SIDNEY HILLMAN HEALTH CNTR OF ROCHESTER

Doing business as

Sidney Hillman Health Cntr Optical

Practice address

750 East Ave
Suite 2
Rochester, NY 14607-2100

Phone

(585) 271-1911

Fax

(585) 442-7216

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Andrew Sidebotham

Title

Managing Optician

Phone

(585) 271-1911

Specialties & licenses 1

Addresses

Other names 1

• Sidney Hillman Health Cntr Optical Doing business as

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1144366147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EAST AVE",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072100",
            "telephone_number": "585-271-1911",
            "fax_number": "585-442-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072100",
            "telephone_number": "585-271-1911",
            "fax_number": "585-442-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY HILLMAN HEALTH CNTR OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SIDEBOTHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING OPTICIAN",
        "authorized_official_telephone_number": "585-271-1911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "C003607-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Hillman Health Cntr Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravinder Sidhu, M.D.
• Katherine Allen Sidi, M.A., CCC-SLP
• Marc L Siditsky, RPA-C
• Sidney Hillman Health Center of Rochester
• Sidney Hillman Health Center of Rochester
• Wendy Sidorenko
• Stacy Sidoti
• Jennifer Sieber, NP
• Gabrielle Elizabeth Siebert-Capone, MD
• Danielle M Siebert, PT

• Eyewear Supplier in Rochester, NY
• Providers in Rochester, 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 Mar 6, 2017; 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.