Organization Active NPI

University Optical Corp

  • Durable Medical Equipment & Medical Supplies
  • Lakeville, NY
National Provider Identifier
1174619365
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSITY OPTICAL CORP
Practice address
6003 Big Tree Rd
Lakeville, NY 14480-9720
Phone
(585) 346-2400
Fax
(585) 346-2413
NPI assigned
Oct 5, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Ms. Jennifer C Huber
Title
Business Manager
Phone
(585) 786-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6003 Big Tree Rd
Lakeville, NY 14480-9720

Mailing address

2469 State Route 19 N
Warsaw, NY 14569-9336
Phone (585) 786-8505

National Provider Directory

National Provider Directory

Locations

2469 State Route 19 N
Warsaw, NY 14569
Phone (585) 786-2288

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1174619365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 STATE ROUTE 19 N",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145699336",
            "telephone_number": "585-786-8505",
            "fax_number": "585-786-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 BIG TREE RD",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809720",
            "telephone_number": "585-346-2400",
            "fax_number": "585-346-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "585-786-8505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.