Privately Yours by Oma

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NO LISCENSE REQUIRED

Legal business name

PRIVATELY YOURS BY OMA

Practice address

1943 Route 14 N
Geneva, NY 14456

Phone

(315) 789-2354

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Oma P Wilson

Title

Sole Owner

Phone

(315) 789-2354

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Oma Louise P Wilson Other name

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1144396391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 CARTER RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 ROUTE 14 N",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATELY YOURS BY OMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "OMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "315-789-2354"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "NO LISCENSE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00757199",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS BLUE",
            "identifier": "OW241144",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "111353AU",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oma Louise P Wilson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Geneva, NY
• Providers in Geneva, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

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