Individual provider Active NPI

Dennis Osiak

  • Contact Lens Fitter
  • Williamsville, NY
National Provider Identifier
1174694681
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
License
C0036231 Issued in NY
Practice address
4545 Transit Rd
Eastern Hills Mall
Williamsville, NY 14221-6012
Phone
(716) 632-5497
Fax
(716) 632-1182
NPI assigned
Nov 13, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X C0036231 NY Primary

Addresses

Primary practice location

4545 Transit Rd
Eastern Hills Mall
Williamsville, NY 14221-6012

Mailing address

4545 Transit Rd
Eastern Hills Mall
Williamsville, NY 14221-6012
Phone (716) 632-5497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0036231NYMDContact Lens Fitter

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1174694681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 TRANSIT RD",
            "address_2": "EASTERN HILLS MALL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216012",
            "telephone_number": "716-632-5497",
            "fax_number": "716-632-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 TRANSIT RD",
            "address_2": "EASTERN HILLS MALL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216012",
            "telephone_number": "716-632-5497",
            "fax_number": "716-632-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIAK",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C0036231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.