Organization Active NPI

Southern Tier Optometric Center, Inc.

Doing business as Council Optometric Center

  • Optometrist
  • Olean, NY
National Provider Identifier
1164424875
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV002749-1 Issued in NY
Legal business name
SOUTHERN TIER OPTOMETRIC CENTER, INC.
Doing business as
Council Optometric Center
Practice address
168 N Union St
Olean, NY 14760-2735
Phone
(716) 372-9464
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mrs. Sam Rosenswie
Title
Corporate Business Manager
Phone
(716) 372-9464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV002749-1 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X C003108-1 NY

Addresses

Primary practice location

168 N Union St
Olean, NY 14760-2735

Mailing address

168 N Union St
Olean, NY 14760-2735
Phone (716) 372-9464

Other names 1

  • COUNCIL OPTOMETRIC CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1164424875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602735",
            "telephone_number": "716-372-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602735",
            "telephone_number": "716-372-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER OPTOMETRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "ROSENSWIE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CORPORATE BUSINESS MANAGER",
        "authorized_official_telephone_number": "716-372-9464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002749-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C003108-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNCIL OPTOMETRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.