The Spec Shop Ophthalmic Dispenser, PLLC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

55-009312 Issued in NY

Legal business name

THE SPEC SHOP OPHTHALMIC DISPENSER, PLLC

Practice address

1176 Main St
Buffalo, NY 14209-2102

Phone

(716) 881-7926

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Drew William Currie, OPTICIAN

Title

Owner/ Optician

Phone

(716) 881-7926

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1144710708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEC SHOP OPHTHALMIC DISPENSER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ OPTICIAN",
        "authorized_official_telephone_number": "716-881-7926",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "55-009312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03541260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The McGuire Group
• The National Witness Project, Inc
• The Resource Center
• The Smart Pill
• The Spec Shop
• The Wellness Institute of Greater Buffalo and Western New York, Inc.
• Theodore Mental Health Counseling, PLLC
• Wadeline Theodore, LMHC
• Danielle Marie Thesier, M.D.
• Sharavanan Thevanayagam, M.D.

• Ophthalmic Technician/Technologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Ophthalmic Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.