Organization Active NPI

West Elmira Optical

  • General Practice Physician
  • Elmira, NY
National Provider Identifier
1154489714
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0029231 Issued in NY
Legal business name
WEST ELMIRA OPTICAL
Practice address
227 Hoffman St
Elmira, NY 14905
Phone
(607) 733-2141
Fax
(607) 734-8138
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mr. Timothy W Obrien
Title
Owner
Phone
(607) 733-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0029231 NY Primary

Addresses

Primary practice location

227 Hoffman St
Elmira, NY 14905

Mailing address

227 Hoffman St
Elmira, NY 14905
Phone (607) 733-2141

National Provider Directory

National Provider Directory

Locations

227 Hoffman St
Elmira, NY 14905
Phone (607) 733-2141

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1154489714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HOFFMAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14905",
            "telephone_number": "607-733-2141",
            "fax_number": "607-734-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOFFMAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14905",
            "telephone_number": "607-733-2141",
            "fax_number": "607-734-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ELMIRA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-733-2141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "0029231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.